Epidemiological pattern of Primary Congenital Glaucoma among Egyptian Children aged 0-4 years Attending Minoufia University hospital
Wagdy, F., Helmy, H., Kasemy, Z. (2021). Epidemiological pattern of Primary Congenital Glaucoma among Egyptian Children aged 0-4 years Attending Minoufia University hospital. EKB Journal Management System, 1(3), 138-150. doi: 10.21608/ejomos.2021.76396.1020
Faried Wagdy; Heba Helmy; Zeinab Kasemy. "Epidemiological pattern of Primary Congenital Glaucoma among Egyptian Children aged 0-4 years Attending Minoufia University hospital". EKB Journal Management System, 1, 3, 2021, 138-150. doi: 10.21608/ejomos.2021.76396.1020
Wagdy, F., Helmy, H., Kasemy, Z. (2021). 'Epidemiological pattern of Primary Congenital Glaucoma among Egyptian Children aged 0-4 years Attending Minoufia University hospital', EKB Journal Management System, 1(3), pp. 138-150. doi: 10.21608/ejomos.2021.76396.1020
Wagdy, F., Helmy, H., Kasemy, Z. Epidemiological pattern of Primary Congenital Glaucoma among Egyptian Children aged 0-4 years Attending Minoufia University hospital. EKB Journal Management System, 2021; 1(3): 138-150. doi: 10.21608/ejomos.2021.76396.1020

Epidemiological pattern of Primary Congenital Glaucoma among Egyptian Children aged 0-4 years Attending Minoufia University hospital

Egyptian Journal of Ophthalmology, (Mansoura Ophthalmic Center)
Volume 1, Issue 3, September 2021, Page 138-150  XML PDF (551.32 K)
Document Type: Original Articles
DOI: 10.21608/ejomos.2021.76396.1020
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Authors
Faried Wagdy email 1; Heba Helmy2; Zeinab Kasemy3
1Department of Ophthalmology, Faculty of medicine, Menoufiya University, Egypt
2Resident of ophthalmology, Ministry of health,el Beheira, Egypt
3Department of Public Health and Community Medicine, Faculty of Medicine, Menoufia University
Abstract
Background: Congenital Glaucoma(CG) is a multiple disease features that can lead to loss of vision. Unfortunately, studies involved in the detection of PCG in Egypt are not enough. Delayed diagnosis and management in those patients consequently lead to burdens on patients and their families.
Objectives: To assess the frequency of CG among children aged 0 to 4years and to describe its associated risk factors and the used surgical modalities.
Methods: A retrospective study was conducted on children aged 0-4years and presented to out-patient clinics at ophthalmology and pediatrics departments in Menoufia University hospitals during the period from 2017 to 2020.
Results: Incidence of congenital glaucoma was 65.8 per100,000 patients during the studied 4years. Bilateral PCG comprised 84% of the total patients. Incidence of conjunctivitis, Nasolacrimal Duct Obstruction(NLDO), and corneal abrasion represented 526.3,394.7,and78.95 per100,000, respectively. Eighty-two percent of the patients had positive consanguineous marriage. Positive family history of PCG was detected in 20% of the patients. A highly significant difference was detected regarding pre to post-surgical management of PCG. Axenfeld-Rieger syndrome was presented only in 1patient. Visual acuity was mostly managed either by fix and follow or poor fixation in 42%and56%of the patients, respectively. Seven patients only experienced post-operative complications such as hypotony, choroidal hypotony, or uncontrolled IOP. Visual acuity problems were reported in32%of the patients.
Conclusion: There was a high incidence of primary congenital glaucoma among children aged0-4years old declaring a public health concern. All children should be routinely investigated and assessed at birth for early detection and proper management.
Keywords
Primary Congenital glaucoma; Incidence of glaucoma; Epidemiological pattern of glaucoma; Egyptian children
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