Profiles and Clinical Characteristics of Newly Diagnosed Glaucoma in Urban Korea: A Multicenter Study
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Purpose: To explore the clinical characteristics and profiles of newly diagnosed glaucoma subtypes in urban Korea. Methods: All newly diagnosed glaucoma patients enrolled in the participating ophthalmology outpatient clinics were included. A review of medical history including family history of glaucoma was conducted. The patients underwent completeophthalmologic examinations including visual field test. The diagnosis of glaucoma was based on the International Society ofGeographical and Epidemiological Ophthalmology criteria developed by glaucoma specialists. Results: A total of 198,671 patients visited the participating ophthalmology outpatient clinics during the study period (fromJanuary 1, 2001 to June 30, 2016), of which 5,530 (2.8%) were diagnosed with glaucoma. The mean age of the newly diagnosedglaucoma patients was 52.0 ± 17.3 years (range, 6 to 89) and 2,830 patients were male (51.2%). The mean untreated intraocularpressure and vertical cup-to-disc ratio of the optic nerve head of newly diagnosed glaucoma eyes were 22.1 ± 10.6mmHg and 0.66 ± 0.22, respectively. The most frequently observed subtypes of glaucoma were: normal tension glaucoma(33.0%) primary open-angle glaucoma (28.4%), ocular hypertension (11.1%), chronic angle-closure glaucoma (6.8%), neovascularglaucoma (5.2%), glaucoma associated with inflammation (3.8%), acute angle-closure glaucoma (3.3%), and glaucomaassociated with aphakia or pseudophakia (2.2%). Conclusions: Normal tension glaucoma was the most frequently observed glaucoma subtype in urban ophthalmology outpatientclinics in Korea.
Abstract
Purpose: To explore the clinical characteristics and profiles of newly diagnosed glaucoma subtypes in urban Korea. Methods: All newly diagnosed glaucoma patients enrolled in the participating ophthalmology outpatient clinics were included. A review of medical history including family history of glaucoma was conducted. The patients underwent completeophthalmologic examinations including visual field test. The diagnosis of glaucoma was based on the International Society ofGeographical and Epidemiological Ophthalmology criteria developed by glaucoma specialists. Results: A total of 198,671 patients visited the participating ophthalmology outpatient clinics during the study period (fromJanuary 1, 2001 to June 30, 2016), of which 5,530 (2.8%) were diagnosed with glaucoma. The mean age of the newly diagnosedglaucoma patients was 52.0 ± 17.3 years (range, 6 to 89) and 2,830 patients were male (51.2%). The mean untreated intraocularpressure and vertical cup-to-disc ratio of the optic nerve head of newly diagnosed glaucoma eyes were 22.1 ± 10.6mmHg and 0.66 ± 0.22, respectively. The most frequently observed subtypes of glaucoma were: normal tension glaucoma(33.0%) primary open-angle glaucoma (28.4%), ocular hypertension (11.1%), chronic angle-closure glaucoma (6.8%), neovascularglaucoma (5.2%), glaucoma associated with inflammation (3.8%), acute angle-closure glaucoma (3.3%), and glaucomaassociated with aphakia or pseudophakia (2.2%). Conclusions: Normal tension glaucoma was the most frequently observed glaucoma subtype in urban ophthalmology outpatientclinics in Korea.
참고문헌 (40)
- Thylefors B, "Global data on blindness", Bull World Health Organ, 73, pp.115~121 (1995)
- Quigley HA, "Number of people with glaucoma worldwide", Br J Ophthalmol, 80, pp.389~393 (1996)
- Quigley HA, "The number of people with glaucoma worldwide in 2010 and 2020", Br J Ophthalmol, 90, pp.262~267 (2006)
- Foster PJ, "The prevalence of glaucoma in Chinese residents of Singapore : a cross-sectional population survey of the Tanjong Pagar district", Arch Ophthalmol, 118, pp.1105~1111 (2000)
- Leske MC, "The Barbados Eye Study : prevalence of open angle glaucoma", Arch Ophthalmol, 112, pp.821~829 (1994)
- Bonomi L, "Prevalence of glaucoma and intraocular pressure distribution in a defined population : the Egna-Neumarkt Study", Ophthalmology, 105, pp.209~215 (1998)
- Buhrmann RR, "Prevalence of glaucoma in a rural East African population", Invest Ophthalmol Vis Sci, 41, pp.40~48 (2000)
- Wensor MD, "The prevalence of glaucoma in the Melbourne visual impairment project", Ophthalmology, 105, pp.733~739 (1998)
- Quigley HA, "The prevalence of glaucoma in a population-based study of Hispanic subjects : Proyecto VER", Arch Ophthalmol, 119, pp.1819~1826 (2001)
- Rotchford AP, "Glaucoma in Zulus : a population-based cross-sectional survey in a rural district in South Africa", Arch Ophthalmol, 120, pp.471~478 (2002)
- He M, "Prevalence and clinical characteristics of glaucoma in adult Chinese: a population-based study in Liwan District, Guangzhou", Invest Ophthalmol Vis Sci, 47, pp.2782~2788 (2006)
- Tielsch JM, "Racial variations in the prevalence of primary open-angle glaucoma : the Baltimore Eye Survey", JAMA, 266, pp.369~374 (1991)
- Foster PJ, "Glaucoma in Mongolia:a population-based survey in Hövsgöl province, northern Mongolia", Arch Ophthalmol, 114, pp.1235~1241 (1996)
- Shiose Y, "Epidemiology of glaucoma in Japan : a nationwide glaucoma survey", Jpn J Ophthalmol, 35, pp.133~155 (1991)
- Iwase A, "The prevalence of primary open-angle glaucoma in Japanese : the Tajimi Study", Ophthalmology, 111, pp.1641~1648 (2004)
- Xu L, "Causes of blindness and visual impairment in urban and rural areas in Beijing : the Beijing Eye Study", Ophthalmology, 113, pp.1134~ (2006)
- Wang Y, "Prevalence and causes of visual field loss as determined by frequency doubling perimetry in urban and rural adult Chinese", Am J Ophthalmol, 141, pp.1078~1086 (2006)
- Kim CS, "Prevalence of primary open-angle glaucoma in central South Korea the Namil study", Ophthalmology, 118, pp.1024~1030 (2011)
- Drance SM, "Angle closure glaucoma among Canadian Eskimos", Can J Ophthalmol, 8, pp.252~254 (1973)
- Arkell SM, "The prevalence of glaucoma among Eskimos of northwest Alaska", Arch Ophthalmol, 105, pp.482~485 (1987)
- Clemmesen V, "Primary angle-closure glaucoma (a.c.g.) in Greenland", Acta Ophthalmol(Copenh), 49, pp.47~58 (1971)
- Shields MB, "The essential iris atrophies", Am J Ophthalmol, 85, pp.749~759 (1978)
- Wilson MC, "A comparison of the clinical variations of the iridocorneal endothelial syndrome", Arch Ophthalmol, 107, pp.1465~1468 (1989)
- Sugiyama K, "The associations of optic disc hemorrhage with retinal nerve fiber layer defect and peripapillary atrophy in normal-tension glaucoma", Ophthalmology, 104, pp.1926~1933 (1997)
- Ji Yun Lee, "Comparison of the Progression of High- and Low-tension Glaucoma as Determined by Two Different Criteria", Korean Journal of Ophthalmology, 30(1), pp.40~47 (2016), 대한안과학회
- Sung KR, "Characteristics of visual field progression in medically treated normal-tension glaucoma patients with unstable ocular perfusion pressure", Invest Ophthalmol Vis Sci, 52, pp.737~743 (2011)
- Shim SH, "The prevalence of open-angle glaucoma by age in myopia : the Korea national health and nutrition examination survey", Curr Eye Res, 42, pp.65~71 (2017)
- European Glaucoma Prevention Study (EGPS) Group, "Predictive factors for open-angle glaucoma among patients with ocular hypertension in the European Glaucoma Prevention Study", Ophthalmology, 114, pp.3~9 (2007)
- Dielemans I, "Primary open-angle glaucoma, intraocular pressure, and diabetes mellitus in the general elderly population: the Rotterdam Study", Ophthalmology, 103, pp.1271~1275 (1996)
- Kahn HA, "The Framingham Eye Study. II. Association of ophthalmic pathology with single variables previously measured in the Framingham Heart Study", Am J Epidemiol, 106, pp.33~41 (1977)
- Klein BE, "Intraocular pressure in diabetic persons", Ophthalmology, 91, pp.1356~1360 (1984)
- Klein BE, "Open-angle glaucoma and older-onset diabetes: the Beaver Dam Eye Study", Ophthalmology, 101, pp.1173~1177 (1994)
- Gordon MO, "The ocular hypertension treatment study : baseline factors that predict the onset of primary open-angle glaucoma", Arch Ophthalmol, 120, pp.714~720 (2002)
- Leibowitz HM, "The Framingham Eye Study monograph: An ophthalmological and epidemiological study of cataract, glaucoma, diabetic retinopathy, macular degeneration, and visual acuity in a general population of 2631 adults, 1973-1975", Surv Ophthalmol, 24, pp.335~610 (1980)
- Leske MC, "Risk factors for openangle glaucoma : the Barbados Eye Study", Arch Ophthalmol, 113, pp.918~924 (1995)
- Mitchell P, "Open-angle glaucoma and diabetes: the Blue Mountains eye study, Australia", Ophthalmology, 104, pp.712~718 (1997)
- Pasquale LR, "Prospective study of type 2 diabetes mellitus and risk of primary open-angle glaucoma in women", Ophthalmology, 113, pp.1081~1086 (2006)
- Tielsch JM, "Diabetes, intraocular pressure, and primary open-angle glaucoma in the Baltimore Eye Survey", Ophthalmology, 102, pp.48~53 (1995)
- Tielsch JM, "Hypertension, perfusion pressure, and primary open-angle glaucoma: a population-based assessment", Arch Ophthalmol, 113, pp.216~221 (1995)
- Bonomi L, "Vascular risk factors for primary open angle glaucoma : the Egna-Neumarkt Study", Ophthalmology, 107, pp.1287~1293 (2000)