J Curr Glaucoma Pract. 2017 May-Aug;11(2):48-51. doi: 10.5005/jp-journals-10028-1222. Epub 2017 Aug 05.
Neovascular Glaucoma: A Retrospective Review from a Tertiary Eye Care Center in Mexico.
Journal of current glaucoma practice
Gabriel Lazcano-Gomez, Jeffrey R Soohoo, Anne Lynch, Levi N Bonell, Karina Martinez, Mauricio Turati, Roberto Gonzalez-Salinas, Jesus Jimenez-Roman, Malik Y Kahook
Affiliations
Affiliations
- Research Scholar, Department of Ophthalmology, School of Medicine, University of Colorado, Colorado, USA.
- Assistant Professor, Department of Ophthalmology, School of Medicine, University of Colorado, Colorado, USA.
- Associate Professor,Department of Ophthalmology, School of Medicine, University of Colorado, Colorado, USA.
- Professional Research Assistant, Department of Ophthalmology, School of Medicine, University of Colorado, Colorado, USA.
- Fellow, Department of Glaucoma, Asociacion para Evitar la Ceguera en Mexico APEC, Mexico city, Mexico.
- Professor, Department of Glaucoma, Asociacion para Evitar la Ceguera en Mexico APEC, Mexico city, Mexico.
- Professional Research Assistant, Department of Glaucoma, Asociacion para Evitar la Ceguera en Mexico APEC, Mexico city, Mexico.
- Chief, Department of Glaucoma, Asociacion para Evitar la Ceguera en Mexico APEC, Mexico city, Mexico.
- Professor, Department of Ophthalmology, School of Medicine, University of Colorado, Colorado, USA.
PMID: 28924338
PMCID: PMC5577119 DOI: 10.5005/jp-journals-10028-1222
Abstract
AIM: To describe the demographic characteristics, ocular comorbidities, and clinical outcomes of patients with neovascular glaucoma (NVG) and to determine the number of patients who returned for a follow-up eye examination.
MATERIALS AND METHODS: We examined the clinical data of patients with NVG, who attended a glaucoma clinic between July 2010 and November 2014. We collected information on the demographic characteristics of the patients to include the level of education, ocular comorbidities, NVG stage, visual acuity, glaucoma medications, intraocular pressure (IOP), and the number of patients who had a follow-up ocular examination at month 1, 3, 6, and 12.
RESULTS: Data from 350 patients (473 eyes) with NVG were collected. We found 91% of the cohort had proliferative diabetic retinopathy (PDR). We found blindness in both or one eye in 14% and 31% of the cohort respectively. Low vision was found in both or one eye in 14% and 32% of the eyes respectively. By 6 months follow-up, only 32% of the patients were seen at our clinic and by 12 months follow-up, this number decreased to 15%. Around 60% of the patients were on no IOP lowering drugs at the first visit. We found 53% of the cohort had an incomplete elementary school education.
CONCLUSION: The results suggest that advanced NVG is a significant ocular problem for patients referred to our clinic with just over half of the patients presenting as blind. We also found that several socioeconomic factors that had an important role in the development of PDR and NVG, specifically, educational status.
CLINICAL SIGNIFICANCE: We described the characteristics of a large cohort of patients with very advanced NVG, reflecting the fact that the strict control of the underlying disease must be the main goal of the Mexican national health system.
HOW TO CITE THIS ARTICLE: Lazcano-Gomez G, Soohoo JR, Lynch A, Bonell LN, Martinez K, Turati M, González-Salinas R, Jimenez-Roman J, Kahook MY. Neovascular Glaucoma: A Retrospective Review from a Tertiary Eye Care Center in Mexico. J Curr Glaucoma Pract 2017;11(2):48-51.
Keywords: Mexico; Neovascular glaucoma; Outcomes; Socioeconomic.; Education
Conflict of interest statement
Source of support: Nil Conflict of interest: None
References
- Gac Sanit. 2016 Aug 2;:null - PubMed
- Exp Ther Med. 2015 Aug;10(2):435-444 - PubMed
- Br J Ophthalmol. 2009 May;93(5):589-93 - PubMed
- Acta Ophthalmol Scand Suppl. 1997;(223):1-76 - PubMed
- Diabetes Care. 1998 Aug;21(8):1230-5 - PubMed
- BMC Public Health. 2015 Oct 05;15:1019 - PubMed
- Diabetes Care. 2001 Jul;24(7):1204-9 - PubMed
- Clin Exp Ophthalmol. 2015 Dec;43(9):803-7 - PubMed
- Am J Ophthalmol. 2006 Dec;142(6):1054-6 - PubMed
- Eur J Ophthalmol. 2009 Nov-Dec;19(6):1028-33 - PubMed
- Prog Retin Eye Res. 2007 Sep;26(5):470-85 - PubMed
- J Glaucoma. 2000 Oct;9(5):409-12 - PubMed
- Ophthalmology. 1984 Apr;91(4):315-20 - PubMed
- Ophthalmic Surg Lasers Imaging. 2006 Mar-Apr;37(2):144-6 - PubMed
- Rev Panam Salud Publica. 2010 Dec;28(6):412-20 - PubMed
- BMC Ophthalmol. 2016 Jan 27;16:14 - PubMed
- Ethn Dis. 2012 Autumn;22(4):459-65 - PubMed
- Retina. 2008 May;28(5):696-702 - PubMed
- Am J Ophthalmol. 2010 May;149(5):752-61.e1-3 - PubMed
- World J Diabetes. 2015 Feb 15;6(1):92-108 - PubMed
- Metab Syndr Relat Disord. 2015 Oct;13(8):352-5 - PubMed
- Arch Ophthalmol. 1963 Mar;69:304-7 - PubMed
- JAMA Ophthalmol. 2015 May;133(5):503-10 - PubMed
- Rev Med Inst Mex Seguro Soc. 2016 Jul-Aug;54(4):490-03 - PubMed
- Ophthalmic Epidemiol. 2016 Aug;23 (4):209-22 - PubMed
- Eye (Lond). 2013 Dec;27(12 ):1397-404 - PubMed
- Arch Med Res. 1994 Autumn;25(3):355-60 - PubMed
Publication Types