The clinical characteristics of acute primary angle closure patients in Ho Chi Minh City Eye Hospital in 2022 The clinical characteristics of acute primary angle closure patients in Ho Chi Minh City Eye Hospital in 2022
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Abstract
Background: Acute primary angle closure is an emergency condition that may lead to permanent damage of the optic nerve head. Updating the changes of clinical characteristics of disease through time is important in diagnosing and prognosticating of disease.
Purpose: To describe demographic, clinical characteristics and treatment results of acute primary angle closure patients in Ho Chi Minh City Eye Hospital in 2022
Methods: Retrospective cross-sectional study. We enrolled 780 eyes from 752 patients diagnosed with acute primary angle closure treated in Ho Chi Minh City Eye Hospital from January 1st 2022 to December 31st 2022. Medical records were included in this study if sufficient information was available.
Results: Most patients were from 51-70 years of age (76.7%), with female-to-male ratio being 2.6. Among the patients, 724 patients had unilateral disease and 28 patients had bilateral disease. Main chief complaints were pain (54.9%) and blurry vision (45.1%). Mean duration of disease onset was 8.7 ± 4.8 days and 74.6% of patients had no preliminary treatment. Baseline visual acuity < 6/20 was found on 87.9% of eyes; mean baseline intraocular pressure was 37.5 ± 19.6 mmHg and 60.9% of eyes had baseline intraocular pressure ≥ 35 mmHg. The most common symptoms were pain (88.3%), blurry vision (78.7%) and redness (76.3%); the most common signs were reduced pupillary reflex (96.3%), ciliary flush (83.3%) and corneal edema (79.1%).. There were 95.6% of eyes with post treatment intraocular pressure < 21 mmHg and 51% of eyes had final visual acuity ≥ 2/20.
Conclusion: Acute primary angle closure is a common emergency condition. Early diagnosis and treatment of disease leads to better outcomes.
Keywords: acute primary angle closure, clinical characteristics, intraocular pressure, visual acuity
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