Socioeconomic factors play role in neovascular glaucoma outcomes
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NEW YORK — Patients from an urban population who presented with advanced neovascular glaucoma had poor outcomes, according to a study.
In a poster presented at the American Society of Retina Specialists annual meeting, Jose Angel Quiroz, MD, PhD, and colleagues conducted a retrospective case series of patients who presented with neovascular glaucoma between 2012 and 2020 at the Montefiore Medical Center in the Bronx, New York. The primary outcome measure was visual acuity and IOP at 12 months after intervention. Eyes with improvement or retention of presenting visual acuity and IOP between 6 mm Hg and 21 mm Hg with or without topical or systemic glaucoma medications were deemed successful.
Among the 63 eyes included in the study, the most common cause of neovascular glaucoma was proliferative diabetic retinopathy (59%), followed by central retinal vein occlusion (27%). Quiroz and colleagues wrote that this finding reflected the prevalence of cardiovascular disease in the study population.
The success rate at 12 months was 36.5%. The low proportion of eyes that received panretinal photocoagulation may have contributed to the lower overall success rate, according to the authors, as well as predisposing risk factors in the study population.
“The advanced disease presentation and poor outcomes of [neovascular glaucoma] highlight the reality that socioeconomic factors such as access to preventative health care and health literacy need to be addressed in urban patient populations,” Quiroz and colleagues wrote.
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Quiroz JA, et al. Characteristics and outcomes of neovascular glaucoma in an urban population. Presented at: American Society of Retina Specialists annual meeting; July 13-16, 2022; New York.
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