LaRocca Megan Corinne, Smith Andrew K, Minckler Don S, Lin Ken Y
University of California, Irvine School of Medicine, Irvine, CA, USA.
Gavin Herbert Eye Institute, Department of Ophthalmology, UC Irvine, Irvine, CA, USA.
Clin Med Insights Endocrinol Diabetes. 2023 Oct 27;16:11795514231203865. doi: 10.1177/11795514231203865. eCollection 2023.
Diabetic neovascular glaucoma is a secondary glaucoma that may require immediate correction of elevated intraocular pressure to control pain and protect the optic nerve. While there is a seasonal trend to glucose levels, it is unknown if a seasonal trend exists for diabetic neovascular glaucoma.
This study evaluates the incidence of urgent glaucoma tube shunt implantation in diabetic neovascular glaucoma in a tertiary academic referral center in Southern California.
Electronic medical records were queried for urgent glaucoma tube shunt surgery from 2014 to 2021. The number of cases were separated by month of occurrence, and average hemoglobin A1c values were calculated per month. Data were analyzed via ANOVA tests and one-tailed t-tests.
A total of 127 cases were identified. The months of March and April contained the most cases averaging 3 and 2.75 cases, respectively. April had statistically significant higher case numbers than that of other months ( = .041). ANOVA tests excluding April showed no statistically significant difference between the remaining months ( = .901). Average hemoglobin A1c values were highest in the months of April and March at 9.8 and 9.6%, respectively.
Emergency glaucoma tube shunt surgery for diabetic neovascular glaucoma occurs most frequently in April. This observation may provide insight into disease prevention through diabetes management and help improve surgical operations such that staffing and resources are allocated accordingly.
糖尿病性新生血管性青光眼是一种继发性青光眼，可能需要立即纠正眼压升高以控制疼痛并保护视神经。虽然血糖水平存在季节性趋势，但糖尿病性新生血管性青光眼是否存在季节性趋势尚不清楚。
本研究评估在南加州一家三级学术转诊中心糖尿病性新生血管性青光眼中紧急青光眼引流管植入术的发生率。
查询2014年至2021年期间紧急青光眼引流管手术的电子病历。病例数按发生月份进行分类，并计算每月的平均糖化血红蛋白值。通过方差分析和单尾t检验对数据进行分析。
共确定了127例病例。3月和4月的病例数最多，分别平均为3例和2.75例。4月的病例数在统计学上显著高于其他月份（P = 0.041）。排除4月后的方差分析显示，其余月份之间无统计学显著差异（P = 0.901）。4月和3月的平均糖化血红蛋白值最高，分别为9.8%和9.6%。
糖尿病性新生血管性青光眼的紧急青光眼引流管手术最常发生在4月。这一观察结果可能有助于通过糖尿病管理来洞察疾病预防，并有助于改善手术操作，从而相应地分配人员和资源。
