ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BỆNH NHÂN GLÔCÔM GÓC ĐÓNG NGUYÊN PHÁT

Abstract

Objective: To describe the clinical and paraclinical characteristics of primary angle-closure glaucoma patients. Subjects and Methods: A descriptive clinical study was conducted on 101 primary angle-closure glaucoma patients at Military Hospital 103, Hanoi Eye Hospital, and Ha Dong Eye Hospital from January 1, 2023, to August 31, 2024. Results: The main symptoms included blurred vision (100%), eye pain (83.2%), redness (76.2%), and headache (77.2%). Patients with poor visual acuity made up the largest group (44.6%). The mean intraocular pressure (IOP) was 46.1 ± 12.4 mmHg, with most patients (67.3%) having an IOP >35 mmHg. Shallow anterior chambers were observed in 100% of patients, along with conjunctival injection (80.2%), corneal edema (63.4%), and complete anterior angle closure (68.3%). The anterior chamber depth was 2.31 ± 0.29 mm, axial length was 22.50 ± 0.73 mm, and lens thickness was 5.10 ± 0.48 mm. Conclusion: Primary angle-closure glaucoma predominantly affects elderly individuals, particularly females, with a higher incidence than in males. Acute glaucoma was more prevalent than the chronic form, commonly presenting with symptoms of blurred vision, eye pain, and elevated intraocular pressure.