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  1. Incidence of acute primary angle-closure glaucoma in Singapore : An island-wide survey.

    Article - En anglais

    Objectives 

    To determine the incidence of acute primary angle-closure glaucoma (APACG) in Singapore and to identify demographic and meteorological risk factors.

    Design 

    A prospective, island-wide incidence study.

    Setting 

    All government and private ophthalmological practices in Singapore, from March 1,1995, to February 29,1996.

    Methods 

    New cases of APACG were identified by all ophthalmologists in Singapore during a 1-year period.

    Demographic and clinical details were recorded.

    Results 

    One hundred eighty-nine people (208 eyes) were seen with APACG for the first time during the 1-year period.

    These new cases represent an incidence of 12.2 per 100 000 per year (95% confidence interval, 10.5-13.9) in those aged 30 years and older.

    Major risk factors identified were female sex (relative risk, 2.4), Chinese ethnic origin (relative risk, 2.8), and age of 60 years or older (relative risk, 9.1).

    Half of those affected were seen 3 days or more after the onset of symptoms.

    Attacks were more frequent on hotter days.

    There also was a relationship between the number of attacks per day and the mean number of sunspots and mean solar radio flux during the previous 30 days.

    Conclusions 

    There is a high incidence of APACG in Singapore, with elderly women being the highest risk group.

    Chinese Singaporeans are at higher risk than other ethnic groups (Malay and Indian).

    There is often a substantial delay before these patients consult a physician. (...)

    Mots-clés Pascal : Glaucome angle ouvert, Incidence, Epidémiologie, Singapour, Asie, Facteur risque, Homme, Oeil pathologie

    Mots-clés Pascal anglais : Open angle glaucoma, Incidence, Epidemiology, Singapore, Asia, Risk factor, Human, Eye disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0012995

    Code Inist : 002B09J. Création : 17/04/1998.