A clinical study of lens induced glaucoma –retrospective analysis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Objective: To determine the clinical presentation, management and outcome of lens-induced glaucoma (LIG) in Govt. General Hospital attached to Govt. Siddhartha Medical College. Methods: A retrospective study was done on LIG patients who have attended ophthalmic op Govt. General Hospital attached to Govt. Siddhartha Medical College Vijayawada during the period from 2010 September to 2015 August. Exclusively Patients with LIG were included and all patients with primary glaucoma’s and secondary glaucoma’s were excluded. Demographic data, clinical presentations, management and outcome were recorded and analyzed. Results: Sixty four patients (64 eyes) with LIG were included. The mean age was 60years and predominantly women (34, 53.12%) were affected. Phacomorphic glaucoma (48, 75%) was the main cause of LIG, followed by phacolytic glaucoma (14, 21.87%). The main clinical symptoms were reduced vision (95%), eye pain (88%) and eye redness (82%). Most patients (51 eyes) were presented with visual acuity of hand movements (79.6%, or worse) and intraocular pressure more than 40 mmHg. Most of patients underwent Small incision cataract extraction with primary posterior chamber lens implantation. Conclusion Triad of acute eye pain reduced vision and redness are the main clinical presentations of LIG. The main cause of LIG is phacomorphic glaucoma stemming from untreated senile cataract. Public awareness and early detection by primary physician is important for an early intervention of cataract. Early intervention aids in visual recovery and IOP control of LIG.
Authors and Affiliations
Dr. V. M. V. R. V. Prasadarao M. S, Dr. M. Madhavi M. S, Dr. Zamrudh Shahin M. S, Dr. Lakshmi Spandana M. S
Keywords
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- EP ID EP598119
- DOI 10.9790/0853-1605104751.
- Views 91
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