Risk Factors for Glaucoma in a Cohort of Patients with Fuchs Heterochromic Iridocyclitis

Ocul Immunol Inflamm. 2017 Dec;25(6):753-759. doi: 10.1080/09273948.2016.1199712. Epub 2016 Aug 5.

Abstract

Purpose: To describe the incidence and risk factors for ocular hypertension and/or glaucoma in patients with Fuchs heterochromic iridocyclitis (FHC).

Methods: Retrospective analysis of 88 patients with FHC. Kaplan-Meier curves estimated the time to develop cataract and ocular hypertension/glaucoma. Possible prognostic factors were investigated in univariate Kaplan-Meier analyses using the Mantel-Cox logrank test.

Results: At presentation with FHC, 52% of patients had a cataract and 26% of patients had ocular hypertension/glaucoma. The estimated percentage of patients with a cataract or ocular hypertension/glaucoma by 4 years after presentation was 71% (CI: 58-81%) and 39% (CI: 28-51%), respectively. Patients aged ≥50 years had significantly greater risk of developing glaucoma (p = 0.0065). After adjusting for age-group, having a cataract at presentation was associated with increased risk of glaucoma (p = 0.032).

Conclusions: Risk factors for development of ocular hypertension/glaucoma were increasing patient age and having a cataract at presentation with FHC.

Keywords: Cataract; glaucoma; heterochromia; uveitis.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cataract / diagnosis
  • Cataract / epidemiology
  • Female
  • Follow-Up Studies
  • Glaucoma / diagnosis
  • Glaucoma / epidemiology*
  • Humans
  • Incidence
  • Iridocyclitis / complications*
  • Iridocyclitis / diagnosis
  • Male
  • Middle Aged
  • Ocular Hypertension / diagnosis
  • Ocular Hypertension / epidemiology
  • Retrospective Studies
  • Risk Factors
  • Visual Acuity / physiology
  • Young Adult