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presenting to our hospital and the modalities of medical and operative treatment
performed
Materials and Methods: Case records of all patients registered at glaucoma clinic
Correspondence to:
from 1st May 2002 to 30th April 2003 were reviewed. Data was collected on a
P S. Mahar
form and entered in SPSS. Multiple variables were collected and analyzed.
Results: A total of 80,767 patients were seen in the hospital with different eye
Ophthalmology
Al-Ibrahim Eye Hospital, Malir
Karachi
August 2007
112
113
DISCUSSION
According to the national survey on blindness and
visual impairment conducted by Pakistan Institute of
Community Ophthalmology (PICO) Peshawar
Pakistan, the overall prevalence of blindness in
Pakistan is estimated at 1.05% to 1.09 % affecting 1.49
million to 1.54 million people7. Glaucoma is the 3rd
major cause, accounting for 7% of all projected
blindness in the country7. Unfortunately no
epidemiological study has been carried out to
establish the commonest type of glaucoma prevalent
in the country. There are some hospital studies
performed to identify the types of glaucoma. Rizvi11
looked at 103 subjects with primary type of glaucoma
attending a local hospital in one year period. He found
CACG involving 57 patients (55.3%) compared to
POAG in 46 patients (44.7%), concluding that CACG
was more common than POAG. Babar et al12 in a two
years study found that, glaucoma accounted for 5.2%
of all admissions in their hospital. In their study the
numbers of male patients were more than females. The
mean age at the time of presentation was 40 years. The
most common type of glaucoma was of primary type
(63.9%) with CACG constituting 28.9% and POAG
involving 22.4% of patients. The number of patients
with secondary glaucomas was 36.1%. They concluded
that the primary glaucoma was the most common type
114
115
Age Distribution
170
160
150
140
130
120
110
100
90
80
70
60
50
40
30
20
10
0
0
153
50
45
40
35
30
25
20
15
10
5
0
120
110
36
a
a
a
a
ion
om
om
om
om
c
c
c
c
ss
u
u
u
u
e
a
a
a
l
l
l
c
la
G
G
G
re
rG
d
ic
ic
le
a
t
e
k
l
y
g
c
a
u
h
ol
An
du
sc
op
ac
In
va
d
h
d
o
u
P
e
oi
Ne
er
Ps
St
19
7
to
10
11
to
20
21
to
30
31
to
40
41
to
50
51
to
60
42 (9.39%)
0
r6
e
v
O
Age in years
76
(17.00%)
160
(35.79%)
6 (1.34%)
NAG
6/6-6-18
9 (2.01%)
<6/18-6/60
<6/60-3/60
<3/60
Female
Male
287
(54.21%)
202
(45.19%)
164
(35.45%)
16
(3.58%)
6 (1.34%)
142
31.77%)
160
Congenital
Glaucoma
POAG
140
122
(27.29%)
120
Cases
CACG
100
PACG
78
(17.45%)
105
(23.49%)
80
60
40
137
(30.65%)
20
186
(41.61%)
0
10 - 20
21
- 30
31 - 40
IOP
(mmHg)
> 40
116
250
200
222
(49.66%)
150
67
(14.9%)
100
50
0
Medical
Surgical
Management Management
Lasers
CONCLUSION
117
Authors affiliation
7.
8.
9.
REFERENCES
11.
1.
2.
3.
4.
5.
6.
10.
118
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13.
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