Indian Journal of Ophthalmology

ORIGINAL ARTICLE
Year
: 2011  |  Volume : 59  |  Issue : 1  |  Page : 29--35

Is glaucoma blindness a disease of deprivation and ignorance? A case-control study for late presentation of glaucoma in India


Parikshit Gogate1, Roma Deshpande1, Vidya Chelerkar1, Swapna Deshpande2, Madan Deshpande1 
1 HV Desai Eye Hospital, Pune, Maharashtra, India
2 Consultant Biostatician, Pune, Maharashtra, India

Correspondence Address:
Parikshit Gogate
Dr. Gogate«SQ»s Eye Clinic, First Floor, Kumar Garima, Tadiwala Road, Pune - 411 001, Maharashtra
India

Aim: The aim was to identify the presenting symptoms and social risk factors for late presentation of primary glaucoma in newly diagnosed cases. Materials and Methods: It was a case-control study in a tertiary eye care center in Maharashtra, India. Newly diagnosed patients with primary glaucoma were classified as cases (late presenters) where there was no perception of light in one eye or severe visual field loss affecting an area within 20° of fixation or a cup-disc (C:D) ratio ≥0.8 and controls (early presenters), presenting relative scotoma within 20° of fixation or a C:D ratio <0.8, but >0.5. All patients underwent a comprehensive ocular examination including gonioscopy, perimetry, and detailed family and social history. Occupation, education, and socioeconomic status were graded. SPSS version 12.0 was used, and univariate and multivariate logistic regression analysis was performed. Results: Gradual progressive painless loss of vision was the commonest symptom (175, 87.5%). Primary angle closure glaucoma was more common in females (P = 0.001) and lower socioeconomic groups (P = 0.05). Patients who were less educated were more likely to have late presentation of glaucoma (P < 0.001, odds ratio = 0.07; 95% CI, 0.02-0.25). Knowledge of family history of glaucoma (P = 0.80, odds ratio = 1.16; 95% CI, 0.36-3.71) and eye clinic attendance in past 2 years still resulted in late presentation (P = 0.45, odds ratio = 1.34, 95% CI, 0.63-2.82). Conclusion: Lack of education and awareness of glaucoma were major risk factors for late presentation.


How to cite this article:
Gogate P, Deshpande R, Chelerkar V, Deshpande S, Deshpande M. Is glaucoma blindness a disease of deprivation and ignorance? A case-control study for late presentation of glaucoma in India.Indian J Ophthalmol 2011;59:29-35


How to cite this URL:
Gogate P, Deshpande R, Chelerkar V, Deshpande S, Deshpande M. Is glaucoma blindness a disease of deprivation and ignorance? A case-control study for late presentation of glaucoma in India. Indian J Ophthalmol [serial online] 2011 [cited 2022 Aug 10 ];59:29-35
Available from: https://www.ijo.in/article.asp?issn=0301-4738;year=2011;volume=59;issue=1;spage=29;epage=35;aulast=Gogate;type=0