Pediatric glaucoma suspects

Karanjit Kooner, Matthew Harrison, Zohra Prasla, Mohannad Albdour, Beverley Adams-Huet

Research output: Contribution to journalArticle

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Abstract

Purpose: To report demographic and ocular features of pediatric glaucoma suspects in an ethnically diverse population of North Central Texas. Design: Retrospective cross-sectional chart review. Participants: Subjects included 75 (136 eyes) pediatric glaucoma suspects. Patients with one or more of the following risk factors were included: cup-to disc (C/D) ratio of ≥0.6; intraocular pressure (IOP) ≥21 mmHg; family history of glaucoma; congenital glaucoma in the opposite eye; history of blunt trauma to either eye; and presence of either Sturge-Weber or Axenfeld-Rieger syndrome, or oculodermal melanocytosis. Methods: Data were extracted from electronic patient medical records. Patient records with incomplete data were excluded. The main outcome measures were race, sex, age, IOP, C/D, family history of glaucoma; and glaucoma treatment. Results: Subjects included 28 (37.3%) Hispanics, 20 (26.6%) African Americans, 20 (26.6%) Caucasians, and seven (9.3%) Asians. Forty (53.3%) of the patients were male. Suspicious optic disc was seen in 57 (76%); elevated IOP in 25 (33.3%); presence of family history in 13 (17.3%), and Sturge-Weber syndrome in nine (12%) patients. The average C/D ratio was 0.58±0.2. The C/D ratios of African American (0.65±0.2), Hispanic (0.63±0.2), and Asian (0.62±0.15) patients were significantly greater than those of Caucasians (0.43±0.18; P=0.0004, 0.0003, and 0.0139, respectively). Caucasian patients were the youngest (7.9±4.8 years). Eleven cases (14.7%) required medication. Conclusion: Thirty-three point seven percent of patients seen in the glaucoma clinic were glaucoma suspects. The most common risk factors for suspected glaucoma were suspicious optic discs, elevated IOP, and family history of glaucoma. Most patients required only close observation. Long-term follow-up of these patients is warranted to determine the mechanisms of conversion to glaucoma.

Original languageEnglish (US)
Pages (from-to)1139-1145
Number of pages7
JournalClinical Ophthalmology
Volume8
DOIs
StatePublished - Jun 16 2014

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Ocular Hypertension
Glaucoma
Pediatrics
Intraocular Pressure
Optic Disk
Hispanic Americans
African Americans
Sturge-Weber Syndrome
Electronic Health Records
Observation
Demography
Outcome Assessment (Health Care)

Keywords

  • Childhood glaucoma suspects
  • Intraocular pressure
  • Suspicious optic disc

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Kooner, K., Harrison, M., Prasla, Z., Albdour, M., & Adams-Huet, B. (2014). Pediatric glaucoma suspects. Clinical Ophthalmology, 8, 1139-1145. https://doi.org/10.2147/OPTH.S61682

Pediatric glaucoma suspects. / Kooner, Karanjit; Harrison, Matthew; Prasla, Zohra; Albdour, Mohannad; Adams-Huet, Beverley.

In: Clinical Ophthalmology, Vol. 8, 16.06.2014, p. 1139-1145.

Research output: Contribution to journalArticle

Kooner, K, Harrison, M, Prasla, Z, Albdour, M & Adams-Huet, B 2014, 'Pediatric glaucoma suspects', Clinical Ophthalmology, vol. 8, pp. 1139-1145. https://doi.org/10.2147/OPTH.S61682
Kooner K, Harrison M, Prasla Z, Albdour M, Adams-Huet B. Pediatric glaucoma suspects. Clinical Ophthalmology. 2014 Jun 16;8:1139-1145. https://doi.org/10.2147/OPTH.S61682
Kooner, Karanjit ; Harrison, Matthew ; Prasla, Zohra ; Albdour, Mohannad ; Adams-Huet, Beverley. / Pediatric glaucoma suspects. In: Clinical Ophthalmology. 2014 ; Vol. 8. pp. 1139-1145.
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abstract = "Purpose: To report demographic and ocular features of pediatric glaucoma suspects in an ethnically diverse population of North Central Texas. Design: Retrospective cross-sectional chart review. Participants: Subjects included 75 (136 eyes) pediatric glaucoma suspects. Patients with one or more of the following risk factors were included: cup-to disc (C/D) ratio of ≥0.6; intraocular pressure (IOP) ≥21 mmHg; family history of glaucoma; congenital glaucoma in the opposite eye; history of blunt trauma to either eye; and presence of either Sturge-Weber or Axenfeld-Rieger syndrome, or oculodermal melanocytosis. Methods: Data were extracted from electronic patient medical records. Patient records with incomplete data were excluded. The main outcome measures were race, sex, age, IOP, C/D, family history of glaucoma; and glaucoma treatment. Results: Subjects included 28 (37.3{\%}) Hispanics, 20 (26.6{\%}) African Americans, 20 (26.6{\%}) Caucasians, and seven (9.3{\%}) Asians. Forty (53.3{\%}) of the patients were male. Suspicious optic disc was seen in 57 (76{\%}); elevated IOP in 25 (33.3{\%}); presence of family history in 13 (17.3{\%}), and Sturge-Weber syndrome in nine (12{\%}) patients. The average C/D ratio was 0.58±0.2. The C/D ratios of African American (0.65±0.2), Hispanic (0.63±0.2), and Asian (0.62±0.15) patients were significantly greater than those of Caucasians (0.43±0.18; P=0.0004, 0.0003, and 0.0139, respectively). Caucasian patients were the youngest (7.9±4.8 years). Eleven cases (14.7{\%}) required medication. Conclusion: Thirty-three point seven percent of patients seen in the glaucoma clinic were glaucoma suspects. The most common risk factors for suspected glaucoma were suspicious optic discs, elevated IOP, and family history of glaucoma. Most patients required only close observation. Long-term follow-up of these patients is warranted to determine the mechanisms of conversion to glaucoma.",
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N2 - Purpose: To report demographic and ocular features of pediatric glaucoma suspects in an ethnically diverse population of North Central Texas. Design: Retrospective cross-sectional chart review. Participants: Subjects included 75 (136 eyes) pediatric glaucoma suspects. Patients with one or more of the following risk factors were included: cup-to disc (C/D) ratio of ≥0.6; intraocular pressure (IOP) ≥21 mmHg; family history of glaucoma; congenital glaucoma in the opposite eye; history of blunt trauma to either eye; and presence of either Sturge-Weber or Axenfeld-Rieger syndrome, or oculodermal melanocytosis. Methods: Data were extracted from electronic patient medical records. Patient records with incomplete data were excluded. The main outcome measures were race, sex, age, IOP, C/D, family history of glaucoma; and glaucoma treatment. Results: Subjects included 28 (37.3%) Hispanics, 20 (26.6%) African Americans, 20 (26.6%) Caucasians, and seven (9.3%) Asians. Forty (53.3%) of the patients were male. Suspicious optic disc was seen in 57 (76%); elevated IOP in 25 (33.3%); presence of family history in 13 (17.3%), and Sturge-Weber syndrome in nine (12%) patients. The average C/D ratio was 0.58±0.2. The C/D ratios of African American (0.65±0.2), Hispanic (0.63±0.2), and Asian (0.62±0.15) patients were significantly greater than those of Caucasians (0.43±0.18; P=0.0004, 0.0003, and 0.0139, respectively). Caucasian patients were the youngest (7.9±4.8 years). Eleven cases (14.7%) required medication. Conclusion: Thirty-three point seven percent of patients seen in the glaucoma clinic were glaucoma suspects. The most common risk factors for suspected glaucoma were suspicious optic discs, elevated IOP, and family history of glaucoma. Most patients required only close observation. Long-term follow-up of these patients is warranted to determine the mechanisms of conversion to glaucoma.

AB - Purpose: To report demographic and ocular features of pediatric glaucoma suspects in an ethnically diverse population of North Central Texas. Design: Retrospective cross-sectional chart review. Participants: Subjects included 75 (136 eyes) pediatric glaucoma suspects. Patients with one or more of the following risk factors were included: cup-to disc (C/D) ratio of ≥0.6; intraocular pressure (IOP) ≥21 mmHg; family history of glaucoma; congenital glaucoma in the opposite eye; history of blunt trauma to either eye; and presence of either Sturge-Weber or Axenfeld-Rieger syndrome, or oculodermal melanocytosis. Methods: Data were extracted from electronic patient medical records. Patient records with incomplete data were excluded. The main outcome measures were race, sex, age, IOP, C/D, family history of glaucoma; and glaucoma treatment. Results: Subjects included 28 (37.3%) Hispanics, 20 (26.6%) African Americans, 20 (26.6%) Caucasians, and seven (9.3%) Asians. Forty (53.3%) of the patients were male. Suspicious optic disc was seen in 57 (76%); elevated IOP in 25 (33.3%); presence of family history in 13 (17.3%), and Sturge-Weber syndrome in nine (12%) patients. The average C/D ratio was 0.58±0.2. The C/D ratios of African American (0.65±0.2), Hispanic (0.63±0.2), and Asian (0.62±0.15) patients were significantly greater than those of Caucasians (0.43±0.18; P=0.0004, 0.0003, and 0.0139, respectively). Caucasian patients were the youngest (7.9±4.8 years). Eleven cases (14.7%) required medication. Conclusion: Thirty-three point seven percent of patients seen in the glaucoma clinic were glaucoma suspects. The most common risk factors for suspected glaucoma were suspicious optic discs, elevated IOP, and family history of glaucoma. Most patients required only close observation. Long-term follow-up of these patients is warranted to determine the mechanisms of conversion to glaucoma.

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