Assessment of Intraocular Pressure and Visual Acuity in Patients of Lens Induced Glaucoma before and after Manual Cataract Surgery
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 12
Abstract
Introduction: Lens induced glaucoma is commonly come across in elderly people if not treated early and promptly leads to poor visual prognosis and adds to old age disabilities. The aim of this study was to clinically assess IOP and visual acuity depending upon duration of lens induced glaucoma before and after lens extraction. Material and Methods: This was a prospective study which was done among 100 cases of lens induced glaucoma (LIG) during September 2014 to October 2016. To reduce the intra ocular pressure by topical beta-blockers and Dorzolamide eye drops were used. Small incision cataract surgery with posterior chamber intra ocular lens implantation was performed. Posterior segment evaluation by ophthalmoscopy (direct and indirect) and +90D biomicroscopy wherever possible. Follow up of every case was done on first postoperative day, at 1 week and 6 weeks. Results: Out of 100 cases, 45 cases (45%) improved to BVCA, indicating that majority of patients had recovered good vision. Among the 100 patients included in this study, 12 patients (12%) presented with IOP < 30 mm Hg, 44 patients (44%) presented with IOP 31-40 mmHg, 24 patients (24%) with IOP 41- 50 mmHg and 20 patients (20%) presented with IOP more than 50 mmHg. Conclusion: The current study showed that phacomorphic glaucoma (56%) was more common than phacolytic glaucoma. Postoperatively visual acuity is improved and intraocular pressure reduced.
Authors and Affiliations
Battula Yallamanda Babu Rao, Rajender Gupta, Bhukya Harish
Keywords
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