Erroneous assumption of ocular hypertension in patients with elevated intraocular pressure.
Elevated intraocular pressure
erroneous diagnosis
ocular hypertension
primary angle closure
Journal
Indian journal of ophthalmology
ISSN: 1998-3689
Titre abrégé: Indian J Ophthalmol
Pays: India
ID NLM: 0405376
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
entrez:
28
1
2022
pubmed:
29
1
2022
medline:
19
3
2022
Statut:
ppublish
Résumé
To determine the proportion of erroneously assumed ocular hypertension (OHT) among referred patients of elevated intraocular pressure (IOP) seen in glaucoma clinic of a teaching hospital in Northern India. Retrospective review of case records of referred, diagnosed patients of OHT or unspecified glaucoma seen between January 2019 and March 2020. Using an algorithmic clinical approach, including gonioscopy, Goldmann applanation tonometry (GAT), and pachymetry, underlying cause for elevated-IOP was amended and proportion of erroneously assumed OHT was calculated. Of 276 patients diagnosed either as OHT or unspecified glaucoma before being seen at our glaucoma clinic, 44 (16%) had IOP within normal range (10-21 mmHg) on GAT. In 97 (35%) cases elevated-IOP was associated with angle closure. The central corneal thickness (CCT) was >550 μm in 39 (14%) patients with elevated-IOP. The proportion of erroneously assumed OHT was 70% in this study. The elevated-IOP does not imply with OHT unless evident through comprehensive clinical examination and appropriate investigations.
Identifiants
pubmed: 35086238
pii: IndianJOphthalmol_2022_70_2_564_336559
doi: 10.4103/ijo.IJO_938_21
pmc: PMC9024004
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
564-568Déclaration de conflit d'intérêts
None
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