Tanito Masaki, Matsuoka Yotaro
Department of Ophthalmology, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.
Division of Ophthalmology, Matsue Red Cross Hospital, Matsue, Shimane, Japan.
Clin Ophthalmol. 2022 Jun 7;16:1815-1819. doi: 10.2147/OPTH.S370082. eCollection 2022.
We report the real-world distribution of glaucoma types and glaucoma surgeries in each age or sex group in our department.
The department database of Matsue Red Cross Hospital, a tertiary care hospital, for eyes surgically treated to manage glaucoma between April 2014 and March 2018 was searched. Patient age, sex, disease type, and surgical procedure were collected from the database. The age was stratified by ≤64 years (young), 65-74 years (pre-old), 75-89 years (old), and ≥90 years (oldest-old or super-old).
In the database, 2036 consecutive surgeries (70.3 ± 14.4 years; 1015 males) were identified. Among all subjects, primary open-angle glaucoma (POAG) (42.7%) was the most frequent identifiable glaucoma type followed by primary angle-closure disease (PACD) (18.8%) and exfoliation glaucoma (17.9%). The glaucoma types differed significantly among the age groups ( < 0.0001); POAG was the most frequent type of glaucoma in young and pre-old groups, while PACD and exfoliation glaucoma were the most frequent glaucoma types in the oldest-old group. Among all subjects, trabeculotomy or other goniotomy/gonio-bypass surgery (41.7%) was the most frequent glaucoma surgery followed by long-tube shunt (22.1%) and trabeculectomy (16.2%). The glaucoma surgeries performed differed significantly among the age groups ( < 0.0001). The frequency of trabeculectomy was the highest in the young group (27.8%), trabeculotomy was the highest in the pre-old (42.6%) and old (46.6%) groups, and long tube shunt (41.3%) and cataract extraction + goniosynechialysis (32.6%) were the highest in the oldest-old group. The glaucoma type ( < 0.0001) and surgeries performed ( < 0.0001) differed significantly between sex groups; the rates of PACD and cataract extraction + goniosynechialysis were remarkably higher in female than male group.
The types of glaucoma and required glaucoma surgeries differ among the different age groups and sexes. Primary angle-closure disease and exfoliation glaucoma are the major glaucoma types in the old and oldest-old age groups.
我们报告了本科室各年龄或性别组青光眼类型及青光眼手术的实际分布情况。
检索了三级护理医院松江红十字医院2014年4月至2018年3月期间因青光眼接受手术治疗的眼部科室数据库。从数据库中收集患者的年龄、性别、疾病类型和手术方式。年龄分层为≤64岁（年轻组）、65 - 74岁（准老年组）、75 - 89岁（老年组）和≥90岁（高龄组或超高龄组）。
在数据库中，共识别出2036例连续手术患者（年龄70.3±14.4岁；男性1015例）。在所有受试者中，原发性开角型青光眼（POAG）（42.7%）是最常见的可识别青光眼类型，其次是原发性闭角型疾病（PACD）（18.8%）和剥脱性青光眼（17.9%）。青光眼类型在各年龄组间差异显著（<0.0001）；POAG是年轻组和准老年组中最常见的青光眼类型，而PACD和剥脱性青光眼是高龄组中最常见的青光眼类型。在所有受试者中，小梁切开术或其他前房角切开术/前房角旁路手术（41.7%）是最常见的青光眼手术，其次是长管分流术（22.1%）和小梁切除术（16.2%）。青光眼手术方式在各年龄组间差异显著（<0.0001）。小梁切除术在年轻组中的频率最高（27.8%），小梁切开术在准老年组（42.6%）和老年组（46.6%）中最高，长管分流术（41.3%）和白内障摘除+房角粘连分离术（32.6%）在高龄组中最高。青光眼类型（<0.0001）和所施行的手术（<0.0001）在性别组间差异显著；女性组中PACD和白内障摘除+房角粘连分离术的比例明显高于男性组。
不同年龄组和性别之间青光眼类型及所需的青光眼手术不同。原发性闭角型疾病和剥脱性青光眼是老年组和高龄组中的主要青光眼类型。
