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Revista de Ciencias Médicas de Pinar del Río
On-line version ISSN 1561-3194
Abstract
RIVERA LOPEZ, Maykel; GARCIA CONCHA, Yanet; PEREZ GONZALEZ, Henry and JALILO HERNANDEZ, Sandra. Central corneal thickness in juvenile glaucoma. Rev Ciencias Médicas [online]. 2012, vol.16, n.6, pp. 66-77. ISSN 1561-3194.
Introduction: juvenile glaucoma is an uncommon variety and its clinical manifestations can simulate a primary glaucoma of open angle. Objective: to assess the behavior of central corneal thickness in juvenile glaucoma. Material and Method: an analytical, longitudinal and prospective study was carried out including 29 patients suffering from juvenile glaucoma who attended to the specialized center of Ophthalmology at “Pepe Portilla” children hospital, Pinar del Rio from June 2010 to December 2011. Results: the average age was 18, with a majority of male patients (51.72 %), and Caucasian, without statistical value. This figure (51.72 %) referred familial history of glaucoma; 93.10 % presented open angle glaucoma and 65.51% had a central corneal thickness inferior to 539 µm prevailing in this group a highly significant value of intraocular pressure between 22-25 mmHg was present in the 84.21% of them. No relationship was found between low-central corneal thicknesses and papillary-glaucoma alterations, a significant-statistical relationship among the values of intraocular pressure superior than 22mmHg and excavations greater than 0.5 with 92.85 % were found. Conclusion: both sexes and races were equally affected prevailing patients suffering from open-angle glaucoma, family history was very important to establish the diagnosis; finding a significant association between the low corneal thickness and high figures of intra-ocular pressure not present in papillary glaucoma damage, which was related to high values of intra-ocular pressure.
Keywords : Glaucoma [diagnosis]; Eye diseases.