Ophthalmology department, Ain Shams University, Cairo, Egypt.
Int Ophthalmol. 2021 May;41(5):1681-1687. doi: 10.1007/s10792-021-01724-1. Epub 2021 Feb 2.
To report visual impairment and blindness among the patients attending a glaucoma clinic in a tertiary university hospital and highlight the possible risk factors that could be addressed later.
A retrospective analysis of the medical records of the patients attending the glaucoma clinic in Ain Shams University Hospitals over a period of one year was conducted. Visual impairment classification was done according to the International Classification of Diseases and Related Health Problems (ICD-11) based on the best-corrected visual acuity in the better-seeing eye. Data including diagnosis, history of previous surgery, and duration of glaucoma were extracted and analyzed.
The medical records of the first visit of 118 patients (58 males and 60 females) were included in this study. Secondary glaucoma was the most common type presented (38 patients, 32.2%), followed by primary open-angle glaucoma (35 patients, 29.6%). Sixty-seven patients (56.7%) were considered visually impaired, while seven patients (5.9%) were considered blind. Forty-one patients (34.7%) were considered mono-ocular blind.
There is a high incidence of visual impairment and blindness among glaucoma patients presented to the glaucoma clinic in the tertiary hospital. A further nation-wide study and possibly, an early surveillance program for glaucoma are needed.
报告在一家三级大学医院的青光眼诊所就诊的患者的视力障碍和失明情况，并强调可能需要解决的潜在风险因素。
对在艾因夏姆斯大学附属医院青光眼诊所就诊的患者的病历进行了为期一年的回顾性分析。根据最佳矫正视力，根据国际疾病分类和相关健康问题（ICD-11）对视力障碍进行分类。提取并分析了包括诊断、既往手术史和青光眼持续时间在内的数据。
本研究共纳入了 118 例（58 例男性和 60 例女性）初诊患者的病历。其中，继发性青光眼是最常见的类型（38 例，32.2%），其次是原发性开角型青光眼（35 例，29.6%）。67 例（56.7%）患者被认为存在视力障碍，7 例（5.9%）患者被认为失明。41 例（34.7%）患者被认为是单眼盲。
在三级医院的青光眼诊所就诊的青光眼患者中，视力障碍和失明的发生率很高。需要进行进一步的全国性研究，可能还需要建立早期青光眼监测计划。
