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A case-control comparison of the clinical characteristics of glaucoma and ocular hypertensive patients with and without the myocilin Gln368Stop mutation.

作者信息

Graul Thomas A, Kwon Young H, Zimmerman M Bridget, Kim Chang-Sik, Sheffield Val C, Stone Edwin M, Alward Wallace L M

机构信息

Department of Ophthalmology and Visual Sciences, College of Medicine, University of Iowa, Iowa City 52242, USA.

出版信息

Am J Ophthalmol. 2002 Dec;134(6):884-90. doi: 10.1016/s0002-9394(02)01754-3.

DOI:10.1016/s0002-9394(02)01754-3
PMID:12470758
Abstract

PURPOSE

To determine whether primary open-angle glaucoma (POAG) and ocular hypertensive (OHT) patients who harbor the myocilin Gln368Stop mutation differ in phenotype or clinical course from patients without the mutation.

DESIGN

Case-control study.

METHODS

A retrospective case-control study compared all known POAG patients (n = 18) and OHT patients (n = 4) harboring the Gln368Stop mutation evaluated by the University of Iowa Glaucoma Service with control patients from the same population. Patients and control subjects were matched for diagnosis, age, sex, and race and were compared for phenotype and clinical course.

RESULTS

Mean age of disease onset and mean peak intraocular pressures (IOPs) of cases were similar to those reported by other studies. There was no statistically significant difference between cases and controls for the following variables: age at onset, peak intraocular pressure, Snellen visual acuity, number of medications, Humphrey visual field (HVF) mean deviation, HVF pattern deviation, number of filtering surgeries performed, time intervals from diagnosis to argon laser trabeculoplasty (ALT), diagnosis to first filtering surgery, ALT to first filtering surgery, and percent change in IOP after ALT and after first filtering surgery.

CONCLUSIONS

There is no statistically significant difference between the onset and clinical course of POAG and OHT caused by the Gln368Stop mutation and POAG and OHT not associated with the mutation.

摘要

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