Vol. 4, Issue 2 (2018)
Original research article: A cross sectional study of primary adult glaucoma in an urban population of Rajasthan, India
Author(s): Dr. Rishendra Singh Sisodiya, Dr Charita Meena
Abstract: Background: Glaucoma is a disease that damages your eye’s optic nerve. It usually happens when fluid builds up in the front part of your eye. That extra fluid increases the pressure in your eye, damaging the optic nerve. Objectives: The purpose of this study is to review the epidemiology of different types of glaucoma relevant to discuss the evidence regarding the risk factors for onset and progression of glaucoma, including risk factors for glaucoma blindness. Methodology: Total 18000 patients of age group 40-70 year attending the eye OPD of pacific institute of medical sciences, Udaipur, Rajasthan, India were screened and treated for glaucoma over a period of 1 year from October 2016 to September 2017. Results: Total of 245 cases of all types of glaucoma was identified. Out of these 39 were angle closure glaucoma and 206 were open angle glaucoma. Newer cases diagnosed were 122(80 of open angle glaucoma and 42 of angle closure glaucoma). Thus the overall incidence was 6.77 cases per 1000 population. Overall prevalence of glaucoma was 13.61 cases per 1000 population. The overall male to female distribution was 113 male cases to 132 female cases but this figure was skewed towards 28 females to 11 males in case of angle closure. Family history for glaucoma was positive in 70 percent of all cases (171 cases). 3 cases required surgery and 29 cases required laser iridotomy (new and augumentation). 61 percent of the overall patients were diabetics and 25 percent were smokers. Conclusion: The glaucoma’s irreversibility, lacking of glaucoma specialists and patients unawareness demand for an economic and effective glaucoma diagnosis system for screening. Disease control and elimination require an adequately trained functional workforce with an enabling infrastructure and technology. Glaucoma is the second leading cause of blindness in the world accounting for upto 8% of total blindness. In India, glaucoma is the leading cause of irreversible blindness with at least 12 million people affected and nearly 1.2 million people blind from the disease.