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      Comparisons of risk factors and visual field changes between juvenile-onset and late-onset primary open-angle glaucoma.

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          Abstract

          To identify the differences in risk factors and visual field (VF) changes between juvenile primary open-angle glaucoma (JOAG) and late-onset chronic open-angle glaucoma (COAG).

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          The relationship between glaucoma and myopia

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            Juvenile glaucoma, race, and refraction.

            Of 68 patients who presented between the ages of 10 and 35 years with elevated intraocular pressure, 25 were classified as juvenile ocular hypertension and 43 as juvenile primary open-angle glaucoma. Blacks constituted a greater proportion of the primary open-angle glaucoma patients (47%) than of the ocular hypertensives (20%) and in both groups presented at younger ages than did whites. Myopia was present in 59% of the ocular hypertensives and 73% of the primary open-angle glaucoma patients, of whom 39% had more than 6 diopters of myopia. All eyes of black patients with more than 3 diopters of myopia had glaucomatous defects compared with 52% of such eyes of white patients. Our data suggest that myopia is strongly associated with juvenile open-angle glaucoma and that young black patients with elevated intraocular pressure, especially when myopic, are more susceptible to glaucomatous damage than are whites.
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              Author and article information

              Journal
              Ophthalmologica
              Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde
              S. Karger AG
              0030-3755
              0030-3755
              March 20 2002
              : 216
              : 1
              Affiliations
              [1 ] Department of Ophthalmology, Taipei Veterans General Hospital, National Yang-Ming University School of Medicine, Taipei, Taiwan.
              Article
              48293
              10.1159/000048293
              11901285
              e002e834-333b-4648-9d8a-37aac43b779a
              History

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