A Prospective Study on Lens Induced Glaucoma and Its Visual Outcomes Visiting District Hospital, Baramulla
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Introduction: Lens-induced-glaucoma is a distinct pathological entity, clinically recognizable, easily preventable and often curable by cataract extraction.1 Lens induced glaucoma due to hyper mature cataracts are an important cause of secondary glaucoma and a common cause of ocular morbidity in developing world. Materials and Methods: This prospective study was conducted in Ophthalmology department of district hospital, baramulla from October 2017 to June 2018. 50 Patients visiting the Hospital with classical symptoms of Lens induced Glaucoma were taken into study. The diagnosis of phacomorphic glaucoma was based on the presence of the classical signs and symptoms such as pain and redness, shallow anterior chamber (AC), cornea oedema and increased IOP with intumescent lens. Phacolytic glaucoma was diagnosed clinically based on the presence of the hyper mature cataract with intact capsule, presence of lens protein and flare in AC. Results: A Total of 50 patients were taken into this study in which 22(44%) were male patients and 28(56%) were Female. Among these maximum patients were from age group 61 to 70 years (60%) followed by 71-80 years (18%). Even 51-60 years had 9 patients (18%). There was a Female dominance seen in number of patients with LIG as compared to male population. Among different LIG patients maximum patients had Phacomorphic Glaucoma accounting 66% (33 patients). Phacolytic Glaucoma was present in 14 patients which accounted 28%. Subluxated Glaucoma was seen in 3 patient in our study (6%) and phacoanaphylactic Glaucoma was not seen in our study. Conclusion: LIG is an important vision-threatening disease presenting as a painful red eye. It is remaining as one of the important cause of Blindness not only because of Senile cataract but even after cataract surgery due to Glaucoma caused by neglected cataractous lens. Even after advanced surgical techniques being invented in recent decades and immense efforts of National Programme of Control of Blindness, Lack of awareness among especially Rural population of India is causing them to remain with cataractous lens for a prolonged period. So necessary steps should be taken to health educate especially Rural population of India, the importance of timely surgery
Authors and Affiliations
Dr. Abdul Aziz Makayee, Nilofar Nazir, Maroof Nabi, Saliya Ayoob
Keywords
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- EP ID EP444743
- DOI 10.9790/0853-1801156568.
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