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. 2020 May 21:14:1373-1381.
doi: 10.2147/OPTH.S239371. eCollection 2020.

Clinical Features of Pseudoexfoliative Glaucoma in Treated Polish Patients

Urszula Łukasik  1 , Ewa Kosior-Jarecka  1 , Dominika Wróbel-Dudzińska  1 , Agnieszka Kustra  1 , Piotr Milanowski  1 , Tomasz Żarnowski  1
Affiliations

Clinical Features of Pseudoexfoliative Glaucoma in Treated Polish Patients

Urszula Łukasik et al. Clin Ophthalmol. .

Abstract

Purpose: The aim of this study was to describe clinical characteristics of glaucomatous optic neuropathy in treated Polish patients with pseudoexfoliative glaucoma.

Methods: In the course of the study, 348 eyes of 231 patients with pseudoexfoliative glaucoma. The patients involved in the study were treated in the Department of Diagnostic and Microsurgery of Glaucoma in Lublin between 2012 and 2019. The following parameters were assessed in the examination: visual acuity, slit-lamp biomicroscopy with evaluation of anterior segment of the eye, gonioscopic examination, stereoscopic fundus examination of the eye, intraocular pressure, visual field, and pachymetry.

Results: The mean age of all the patients was 73.16 years (SD±8.03). The mean age of women was 74.06 (SD±6.97), and the mean age of men was 71.8 (SD±8.51, p=0.006265). Women represented 37.93% (n=132) of the studied group, while men 62.07% (n=216). In the group of patients younger than 65 years of age, 27.9% were male and 15% female (p=0.0021). In the whole studied group, mean peak IOP was 29.25 mmHg with higher mean values in male patients (M vs F: 33.24 mmHg vs 26.86 mmHg; p=0.000). Peak values exceeding 30 mmHg were significantly more frequent in males (M vs F: 56.5% vs 31.9%; p=0.0000). Peak IOP never exceeding 21 mmHg was observed in 18.6% of the patients. The mean value of MD (Mean Deviation) was -12.85 dB in the whole group. The men were more likely to have more advanced glaucoma, according to MD (M vs F: -16.35 dB vs -11.13 dB; p=0.0000).

Conclusion: Pseudoexfoliative glaucoma was more frequently observed in men with younger age, higher IOP, and more advanced glaucoma. Normotensive glaucoma was observed in 18.6% of the patients with pseudoexfoliative glaucoma.

Keywords: epidemiology; glaucoma; pseudoexfoliation syndrome; pseudoexfoliative glaucoma.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Relationship between IOP and gender. 1, Female. 2, Male.
Figure 2
Figure 2
Relationship between MD and gender. 1, Female. 2, Male.
See this image and copyright information in PMC

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