BACKGROUND: The purpose of the study was to describe the clinical profile of glaucoma types, treatment modalities, visual outcomes, and intraocular pressure (IOP) control for patients in Palestine.MATERIAL AND METHODS: Data collection was... more
BACKGROUND: The purpose of the study was to describe the clinical profile of glaucoma types, treatment modalities, visual outcomes, and intraocular pressure (IOP) control for patients in Palestine.MATERIAL AND METHODS: Data collection was done through the hospital record review, which included basic demographics including file number, age, sex, family history of glaucoma, history of anti-glaucoma and steroid medication, history of ocular trauma or surgery, etiology of secondary glaucoma and history of systemic illness. All the patients had a comprehensive eye examination, including visual acuity, intraocular pressure, vertical cup-disc ratio, and gonioscopy. Data were obtained, tabulated, and organized using Microsoft Excel, and statistical analyses were done using Wizard Version 1.9.49 by Evan Miller.RESULTS: There were 100 females with a mean age of 53 and 101 males with a mean age of 67. Primary open-angle glaucoma and its variants represented 45.3% of all patients, while secondary glaucoma represented 40.3% and primary angle closure glaucoma represented 10.4%. The prevalence of glaucoma increased with age, and the last visual acuity (VA) showed that 39.2% of eyes had Normal/near normal VA. The highest average IOP of 25 mm Hg was recorded among secondary glaucoma patients. Of all glaucoma eyes studied, 64% were on one or two medications, and the most common surgical procedures performed were peripheral iridectomy 18.2% followed by trabeculectomy 15.5%. CONCLUSION: Primary open-angle glaucoma (POAG) was the predominant glaucoma. Glaucoma increased significantly with advancing age. Pseudoexfoliation and neovascular glaucoma comprised the majority of secondary glaucoma.KEY WORDS: clinical characteristics; glaucoma types; age; gender; IOP; Palestine
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Research Interests: Ophthalmology, Treatment Outcome, Benchmarking, Medicine, Visual acuity, and 15 moreCataract surgery, Humans, Female, Male, Clinical Sciences, Aged, Middle Aged, Optometry and Ophthalmology, Adult, Public health systems and services research, Refraction, Retrospective Studies, Phacoemulsification, Teaching Hospitals, and Postoperative Period
Additional file 1: Table S1. Categories and subcategories used in study.
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Objectives: We aimed to profile the spectrum of eye conditions and document the change in cases presenting at St John Eye Tertiary Hospital, Hebron, Palestine. Patients and Methods: Charts of all new patients who presented to St. John Eye... more
Objectives: We aimed to profile the spectrum of eye conditions and document the change in cases presenting at St John Eye Tertiary Hospital, Hebron, Palestine. Patients and Methods: Charts of all new patients who presented to St. John Eye Hospital, Hebron, Palestine, between 2006 and 2013 were reviewed retrospectively. Age at presentation, sex, and clinical diagnosis were extracted from medical records. Data were stored and analyzed. Results: The records of 33,183 patients were included in the study. Female:male ratio was 1:1. Patients aged 10–19 years were the largest group (18%–24%). Refractive errors were the most common disorders seen (22%–32%). This was followed by followed by conjunctival diseases (20%–24%) and cataract (8%–13%). Diabetic patients represented 7% of the total. Proliferative and nonproliferative diabetic retinopathy increased over the study period. Refractive errors and cataract were more frequent in females than males, while ocular trauma was more prominent in ...
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Aims: This audit aims to assess the quality and accuracy of primary graders in the diabetic retinopathy screening program in the occupied Palestinian territories. Subjects and Methods: A retrospective audit of 198 image sets from eight... more
Aims: This audit aims to assess the quality and accuracy of primary graders in the diabetic retinopathy screening program in the occupied Palestinian territories. Subjects and Methods: A retrospective audit of 198 image sets from eight fully trained primary graders in the diabetic retinopathy screening program in the occupied Palestinian territories was performed. An expert grader regraded all images and audited their quality. The interobserver agreement between primary graders and the expert grader and the corresponding Kappa coefficient were determined for overall grading, referable, nonreferable disease, and ungradable disease. The audit standard was set at 80% for interobserver agreement with a Kappa coefficient of 0.7. Results: The interobserver agreement was 80% or better for overall outcome, referable, and nonreferable disease. The Kappa coefficient was 0.70 (substantial) for the overall grading results, 0.72 (substantial) for referable disease, 0.86 (almost perfect) for nonr...
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BAckGround: The purpose of this study was to determine the prevalence of diabetic retinopathy among Palestinian refugees serviced by the Diabetic Retinopathy Screening Program in the Occupied Palestinian Territories (DRS- -OPT).... more
BAckGround: The purpose of this study was to determine the prevalence of diabetic retinopathy among Palestinian
refugees serviced by the Diabetic Retinopathy Screening Program in the Occupied Palestinian Territories (DRS-
-OPT).
MAterIAl And MethodS: This is a retrospective study of retinal images of 1891 diabetic patients in 15 urban
UNRWA clinics participating in the DRS-OPT program in Palestine over 12 months. A nonmydriatic Canon CR-2
fundus retinal camera was used to capture two 450 non-stereo fundus images for each eye. Qualified graders (nurses)
performed the grading based on the DRS-OPT grading system.
reSultS: Out of the 1891 diabetic patients screened, 1694 had at least one gradable eye. 16% of patients had
diabetic retinopathy (5.7% had mild nonproliferative diabetic retinopathy, 4.3% had moderate nonproliferative
diabetic retinopathy, 1.1% had severe, moderate nonproliferative diabetic retinopathy, and 1.7% had proliferative
diabetic retinopathy. Maculopathy without retinopathy amounted to 3%. Other findings included the identification
of blinding diseases such as age-related macular degeneration and optic disc glaucomatous cupping.
concluSIonS: The retinopathy screening program using a nonmydriatic fundus camera identified diabetic retino-
pathy in 16% of diabetic Palestinian refugees. A total of 72% of these patients were diabetics with nonproliferative
retinopathy. This program can be used to prevent progression by facilitating the education of patients and early
intervention.
refugees serviced by the Diabetic Retinopathy Screening Program in the Occupied Palestinian Territories (DRS-
-OPT).
MAterIAl And MethodS: This is a retrospective study of retinal images of 1891 diabetic patients in 15 urban
UNRWA clinics participating in the DRS-OPT program in Palestine over 12 months. A nonmydriatic Canon CR-2
fundus retinal camera was used to capture two 450 non-stereo fundus images for each eye. Qualified graders (nurses)
performed the grading based on the DRS-OPT grading system.
reSultS: Out of the 1891 diabetic patients screened, 1694 had at least one gradable eye. 16% of patients had
diabetic retinopathy (5.7% had mild nonproliferative diabetic retinopathy, 4.3% had moderate nonproliferative
diabetic retinopathy, 1.1% had severe, moderate nonproliferative diabetic retinopathy, and 1.7% had proliferative
diabetic retinopathy. Maculopathy without retinopathy amounted to 3%. Other findings included the identification
of blinding diseases such as age-related macular degeneration and optic disc glaucomatous cupping.
concluSIonS: The retinopathy screening program using a nonmydriatic fundus camera identified diabetic retino-
pathy in 16% of diabetic Palestinian refugees. A total of 72% of these patients were diabetics with nonproliferative
retinopathy. This program can be used to prevent progression by facilitating the education of patients and early
intervention.
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كلمات عربية فصحى و ليست دخيلة
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The best method readily available to the clinician for performing this examination is high plus lens fundus biomicroscopy. Optimal magnification can be achieved by using a +60D lens which provides 1.5 times the magnification of a 90D... more
The best method readily available to the clinician for performing this examination is high plus lens fundus biomicroscopy. Optimal magnification can be achieved by using a +60D lens which provides 1.5 times the magnification of a 90D lens. During this examination the patient's pupils must be maximally dilated with a combination of mydriatic agents such as 1% Tropicamide and 2.5% Phenylephrine.
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