Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Primary open‐angle glaucoma (POAG) is a progressive optic neuropathy leading to irreversible vision loss and is the most prevalent form of glaucoma globally. Systemic hypertension, a widespread cardiovascular condition, has been hypothesized to influence POAG development through mechanisms such as increased intraocular pressure and vascular dysfunction. Despite extensive research, the relationship between hypertension and POAG remains inconclusive, necessitating further investigation. This study aimed to determine the prevalence of POAG in patients with systemic hypertension and explore associations with hypertension severity and duration. Specific objectives included estimating POAG prevalence, evaluating associations with hypertension severity and examining correlations with hypertension duration. A cross‐sectional study was conducted at Sree Mookambika Institute of Medical Sciences involving 500 hypertensive patients. Participants underwent comprehensive ocular examinations to diagnose POAG based on established criteria. Data on hypertension severity, duration and demographic variables were collected and analyzed using descriptive statistics, chi‐square tests and multivariate logistic regression. Among 500 hypertensive patients, 100 (20%) were diagnosed with POAG. Higher hypertension severity (Stage 2: 20%, Stage 3: 30%) and longer duration (>10 years: 30%) correlated significantly with increased POAG prevalence. Multivariate analysis identified older age, longer hypertension duration, higher hypertension severity, family history of glaucoma and smoking as independent risk factors for POAG. This study reveals a substantial prevalence of POAG among hypertensive patients, emphasizing the need for enhanced screening and management strategies. The findings underscore hypertension severity and duration as critical factors influencing POAG risk. Integrating regular ocular assessments into hypertensive patient care protocols could enhance early detection and mitigate vision loss associated with POAG.
How to cite this article:
R. Aalathi, R. Rinita, Vaduvakrishnan , Biju Gopal and P. Rajeevan. Study to Determine the Prevalence of Primary Open Angle Glaucoma in Patients with Systemic Hypertension.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.293.298
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.293.298