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Erroneous assumption of ocular hypertension in patients with elevated intraocular pressure

PURPOSE: 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. METHODS: Retrospective review of case records of referred, diagnosed patients of OHT...

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Detalles Bibliográficos
Autores principales: Rewri, Parveen, Ali, Wazid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9024004/
https://www.ncbi.nlm.nih.gov/pubmed/35086238
http://dx.doi.org/10.4103/ijo.IJO_938_21
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author Rewri, Parveen
Ali, Wazid
author_facet Rewri, Parveen
Ali, Wazid
author_sort Rewri, Parveen
collection PubMed
description PURPOSE: 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. METHODS: 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. RESULTS: 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. CONCLUSION: The elevated-IOP does not imply with OHT unless evident through comprehensive clinical examination and appropriate investigations.
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spelling pubmed-90240042022-04-23 Erroneous assumption of ocular hypertension in patients with elevated intraocular pressure Rewri, Parveen Ali, Wazid Indian J Ophthalmol Special Focus, Glaucoma, Original Article PURPOSE: 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. METHODS: 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. RESULTS: 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. CONCLUSION: The elevated-IOP does not imply with OHT unless evident through comprehensive clinical examination and appropriate investigations. Wolters Kluwer - Medknow 2022-02 2022-01-27 /pmc/articles/PMC9024004/ /pubmed/35086238 http://dx.doi.org/10.4103/ijo.IJO_938_21 Text en Copyright: © 2022 Indian Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Special Focus, Glaucoma, Original Article
Rewri, Parveen
Ali, Wazid
Erroneous assumption of ocular hypertension in patients with elevated intraocular pressure
title Erroneous assumption of ocular hypertension in patients with elevated intraocular pressure
title_full Erroneous assumption of ocular hypertension in patients with elevated intraocular pressure
title_fullStr Erroneous assumption of ocular hypertension in patients with elevated intraocular pressure
title_full_unstemmed Erroneous assumption of ocular hypertension in patients with elevated intraocular pressure
title_short Erroneous assumption of ocular hypertension in patients with elevated intraocular pressure
title_sort erroneous assumption of ocular hypertension in patients with elevated intraocular pressure
topic Special Focus, Glaucoma, Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9024004/
https://www.ncbi.nlm.nih.gov/pubmed/35086238
http://dx.doi.org/10.4103/ijo.IJO_938_21
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