Neovascular Glaucoma: A Retrospective Review from a Tertiary Eye Care Center in Mexico

Gabriel Lazcano-Gomez; Jeffrey R Soohoo; Anne Lynch; Levi N Bonell; Karina Martinez; Mauricio Turati; Roberto Gonzalez-Salinas; Jesus Jimenez-Roman; Malik Y Kahook

doi:10.5005/jp-journals-10028-1222

Neovascular Glaucoma: A Retrospective Review from a Tertiary Eye Care Center in Mexico

J Curr Glaucoma Pract. 2017 May-Aug;11(2):48-51. doi: 10.5005/jp-journals-10028-1222. Epub 2017 Aug 5.

Authors

Gabriel Lazcano-Gomez¹, Jeffrey R Soohoo², Anne Lynch³, Levi N Bonell⁴, Karina Martinez⁵, Mauricio Turati⁶, Roberto Gonzalez-Salinas⁷, Jesus Jimenez-Roman⁸, Malik Y Kahook⁹

Affiliations

¹ Research Scholar, Department of Ophthalmology, School of Medicine, University of Colorado, Colorado, USA.
² Assistant Professor, Department of Ophthalmology, School of Medicine, University of Colorado, Colorado, USA.
³ Associate Professor,Department of Ophthalmology, School of Medicine, University of Colorado, Colorado, USA.
⁴ Professional Research Assistant, Department of Ophthalmology, School of Medicine, University of Colorado, Colorado, USA.
⁵ Fellow, Department of Glaucoma, Asociacion para Evitar la Ceguera en Mexico APEC, Mexico city, Mexico.
⁶ Professor, Department of Glaucoma, Asociacion para Evitar la Ceguera en Mexico APEC, Mexico city, Mexico.
⁷ Professional Research Assistant, Department of Glaucoma, Asociacion para Evitar la Ceguera en Mexico APEC, Mexico city, Mexico.
⁸ Chief, Department of Glaucoma, Asociacion para Evitar la Ceguera en Mexico APEC, Mexico city, Mexico.
⁹ Professor, Department of Ophthalmology, School of Medicine, University of Colorado, Colorado, USA.

Abstract

Aim: To describe the demographic characteristics, ocular comorbidities, and clinical outcomes of patients with neovascular glaucoma (NVG) and to determine the number of patients who returned for a follow-up eye examination.

Materials and methods: We examined the clinical data of patients with NVG, who attended a glaucoma clinic between July 2010 and November 2014. We collected information on the demographic characteristics of the patients to include the level of education, ocular comorbidities, NVG stage, visual acuity, glaucoma medications, intraocular pressure (IOP), and the number of patients who had a follow-up ocular examination at month 1, 3, 6, and 12.

Results: Data from 350 patients (473 eyes) with NVG were collected. We found 91% of the cohort had proliferative diabetic retinopathy (PDR). We found blindness in both or one eye in 14% and 31% of the cohort respectively. Low vision was found in both or one eye in 14% and 32% of the eyes respectively. By 6 months follow-up, only 32% of the patients were seen at our clinic and by 12 months follow-up, this number decreased to 15%. Around 60% of the patients were on no IOP lowering drugs at the first visit. We found 53% of the cohort had an incomplete elementary school education.

Conclusion: The results suggest that advanced NVG is a significant ocular problem for patients referred to our clinic with just over half of the patients presenting as blind. We also found that several socioeconomic factors that had an important role in the development of PDR and NVG, specifically, educational status.

Clinical significance: We described the characteristics of a large cohort of patients with very advanced NVG, reflecting the fact that the strict control of the underlying disease must be the main goal of the Mexican national health system.

How to cite this article: Lazcano-Gomez G, Soohoo JR, Lynch A, Bonell LN, Martinez K, Turati M, González-Salinas R, Jimenez-Roman J, Kahook MY. Neovascular Glaucoma: A Retrospective Review from a Tertiary Eye Care Center in Mexico. J Curr Glaucoma Pract 2017;11(2):48-51.

Keywords: Mexico; Neovascular glaucoma; Outcomes; Socioeconomic.; Education.