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Findings from a rapid assessment of avoidable blindness (RAAB) in Southern Malawi.马拉维南部可避免盲症快速评估结果。
PLoS One. 2011 Apr 25;6(4):e19226. doi: 10.1371/journal.pone.0019226.
3
Presentation patterns of primary open angle glaucomas in north eastern ghana.加纳东北部原发性开角型青光眼的临床表现模式
Ghana Med J. 2010 Mar;44(1):25-30. doi: 10.4314/gmj.v44i1.68853.
4
Glaucoma in Africa: size of the problem and possible solutions.非洲的青光眼：问题规模与可能的解决办法
J Glaucoma. 2009 Feb;18(2):124-8. doi: 10.1097/IJG.0b013e318189158c.
5
Pattern of presentation and outcome of surgical management of primary open angle glaucoma in Kano, Northern Nigeria.尼日利亚北部卡诺地区原发性开角型青光眼的手术治疗表现模式及结果
Ann Afr Med. 2007 Dec;6(4):180-5. doi: 10.4103/1596-3519.55700.
6
Recognising and reducing barriers to cataract surgery.认识并减少白内障手术的障碍。
Community Eye Health. 2000;13(34):20-1.
7
Chronic glaucoma case finding and treatment in rural Africa: some questions and answers.非洲农村地区慢性青光眼的病例发现与治疗：一些问答
Community Eye Health. 2001;14(39):43-4.
8
How to manage a patient with glaucoma in Africa.如何在非洲管理青光眼患者。
Community Eye Health. 2006 Sep;19(59):38-9.
9
Primary open-angle glaucoma presentation at a tertiary unit in Africa: intraocular pressure levels and visual status.非洲一家三级医疗机构中原发性开角型青光眼的临床表现：眼压水平与视力状况
Ophthalmic Epidemiol. 2005 Oct;12(5):299-302. doi: 10.1080/09286580500180572.
10
Prevalence of glaucoma in an African population.非洲人群中青光眼的患病率。
Eye (Lond). 2004 May;18(5):491-7. doi: 10.1038/sj.eye.6700674.

马拉维布兰太尔狮子防盲眼科医院原发性开角型青光眼（POAG）的病例报告。

Presentation of Primary Open Angle Glaucoma (POAG) at Lions Sight First Eye Hospital in Blantyre, Malawi.

作者信息

Kayange P C, Nkume H B, Feyi-Waboso A, Kalua K, Msukwa G, Schwering Schulze M

机构信息

Ophthalmology Unit, Department of Surgery, College of Medicine, University of Malawi, Blantyre, Malawi; Lions Sight First Eye Hospital, Blantyre, Malawi.

Royal Gwent Hospital, Newport, Wales.

出版信息

Malawi Med J. 2014 Sep;26(3):60-2.

PMID:27529014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4248041/
Abstract

OBJECTIVE

Primary open angle glaucoma (POAG) is the most common type of glaucoma in Africa. We carried out a study to determine the clinical presentation pattern of patients with primary open angle glaucoma (POAG) at a tertiary hospital in Malawi.

DESIGN

A cross-sectional study.

SETTING

Lions Sight First Eye Hospital-a major referral and teaching state eye hospital in Blantyre, Malawi.

SUBJECTS

Study participants were newly diagnosed POAG patients at specialist eye clinic during study period.

RESULTS

A total of 60 POAG patients were recruited into the study. The mean age was 58.7 years (SD= 16.6, range 18 - 86). There were more male (44, 73.3%) than female (16, 27.7%) patients. The majority of patients (73%) presented one year after onset of visual symptoms. Twenty-six patients (43%) had unilateral blindness (visual acuity < 3/60; WHO classification), while nine patients (15%) presented with bilateral blindness. A vertical cup-to-disc ratio (CDR) of 0.8 or worse was seen in 92 eyes (79%). The mean intraocular pressure (IOP) reading was 35.5 mmHg (SD 13.30). Of the thirty-three eyes that successfully underwent visual field analysis, very advanced defects were recorded in 12 eyes (36%).

CONCLUSION

This study demonstrates delayed presentation and male predominance among POAG patients at a tertiary eye hospital in Malawi. Glaucoma intervention programmes should aim at identifying patients with treatable glaucoma with particular attention to women.

摘要

目的

原发性开角型青光眼（POAG）是非洲最常见的青光眼类型。我们开展了一项研究，以确定马拉维一家三级医院中原发性开角型青光眼（POAG）患者的临床表现模式。

设计

横断面研究。

地点

狮子会视觉第一眼科医院——马拉维布兰太尔一家主要的转诊和教学型国立眼科医院。

研究对象

研究参与者为研究期间在专科眼科诊所新诊断的POAG患者。

结果

共有60例POAG患者纳入研究。平均年龄为58.7岁（标准差=16.6，范围18 - 86岁）。男性患者（44例，73.3%）多于女性患者（16例，27.7%）。大多数患者（73%）在视觉症状出现一年后就诊。26例患者（43%）有单眼失明（视力<3/60；世界卫生组织分类），而9例患者（15%）为双眼失明。92只眼（79%）的垂直杯盘比（CDR）为0.8或更差。平均眼压（IOP）读数为35.5 mmHg（标准差13.30）。在成功进行视野分析的33只眼中，12只眼（36%）记录到非常严重的缺损。

结论

本研究表明，在马拉维一家三级眼科医院的POAG患者中存在就诊延迟和男性占主导的情况。青光眼干预项目应旨在识别可治疗的青光眼患者，尤其要关注女性。