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MONTSERRAT PINTO CROKER, Ana Karina Martínez Báez, Nallely Ramos Betancourt, Jorge Gamiochipi-Arjona, Jesus Jimenez Arroyo, Jesus Jimenez-Roman, Magdalena Garcia Huerta, Mauricio Turati Acosta; Incidence of post traumatic Glaucoma in “Asociacion Para Evitar la Ceguera en México” in 5 Years. Invest. Ophthalmol. Vis. Sci. 2017;58(8):5337.
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© ARVO (1962-2015); The Authors (2016-present)
Ocular trauma is an important cause of ocular morbidity. The development of glaucoma is a possible complication after trauma.The purpose of this study is to determine the incidence of post-traumatic glaucoma in patients with closed and open globe trauma and to evaluate the clinical characteristics that increase the risk of developing glaucoma.
This study is a retrospective cohort. We included patients that came to our hospital with diagnosis of ocular trauma from January 2010 to December 2015. A total of 185 cases were included; mean age was 38.24 years (SD 18.90, range 7-86), 78.4% (145) were male and 58.4% (108) were left eyes.
The incidence of glaucoma in closed globe trauma was 7.5%. There were no glaucoma cases in open globe trauma. The mean intraocular pressure (IOP) of patients who developed glaucoma was 28.58mmHg (DS 10.13, range 10-46) at the first visit, which was higher than the patients who didn’t (p< 0.0001). The clinical characteristics that increased the risk of developing glaucoma were: hyphema (RR 6.7), vitreous hemorrhage (RR 2.19) and angular recession (RR 1.32).
Conclusions: The incidence of glaucoma in closed globe trauma in our Center is higher than reported in previous studies. High IOP, hyphema, vitreous hemorrhage and angular recession diagnosed at the first visit seemed to increase the risk of developing post traumatic glaucoma.
This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.
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