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GLAUCOMA UPDATE The profile of glaucoma in a Tertiary Ophthalmic University Center in Riyadh, Saudi Arabia Saleh A. Al Obeidan, MD a, * ; Ahmed Dewedar, FRCS b ; Essam A. Osman, FRCS a ; Ahmed Mousa, PhD a a Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia b Department of Ophthalmology, National Guard Hospital, Riyadh, Saudi Arabia Received 14 August 2011; revised 8 September 2011; accepted 8 September 2011 Available online 16 September 2011 KEYWORDS Glaucoma pattern; Saudi population; Glaucoma types; Epidemiology of glaucoma Abstract Purpose: To report the pattern of glaucoma among Saudi patients who were presented to King Abdul Aziz University Hospital (KAUH). Methods: All glaucoma or glaucoma suspect patients who were presented to KAUH from 2006 to 2008 were included; medical files of all patients were retrieved and evaluated through standardized international guidelines. Collected data included: age, sex, laterality, intraocular pressure, and cup/ disk ratio. Prevalence of different glaucoma types (including 95% CI) was calculated, ANOVA and post hoc tests were applied to evaluate the difference in indices across different types. Results: A total of 2296 eyes of 1236 patients were included. Primary angle closure glaucoma (PACG) was the predominant type (46.6%) followed by primary angle closure (PAC) (17.2%), then primary open angle glaucoma (POAG) (12.8%), and secondary glaucoma (13%). Other types including (normal tension glaucoma (5.9%), childhood glaucoma (2.6%), and juvenile glaucoma (1.9%)) were also present but of lower prevalence. Conclusion: Primary angle closure glaucoma was the predominant form of glaucoma followed by PAC, and POAG suggesting that the pattern in Saudi Arabia could be quite different from that reported for primary glaucomas in the Western literature. In addition, pseudoexfoliation was the * Corresponding author. Address: Department of Ophthalmology, College of Medicine, King Saud University, King Abdul Aziz University Hospital, King Abdul Aziz Road, P.O. Box 245, Riyadh 11411, Saudi Arabia. Tel.: +966 505467237. E-mail addresses: [email protected], [email protected] (S.A. Al Obeidan). 1319-4534 ª 2011 King Saud University. Production and hosting by Elsevier B.V. All rights reserved. Peer review under responsibility of King Saud University. doi:10.1016/j.sjopt.2011.09.001 Production and hosting by Elsevier Saudi Journal of Ophthalmology (2011) 25, 373379 King Saud University Saudi Journal of Ophthalmology www.saudiophthaljournal.com www.ksu.edu.sa www.sciencedirect.com

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