Clinical study of secondary glaucoma
Journal Title: MRIMS Journal of Health Sciences - Year 2016, Vol 4, Issue 4
Abstract
Background: According to the World Health Organization (WHO) global estimation in 2002, more than 161 million people were visually impaired, of whom 124 million people had low vision and 37 million were blind worldwide. Refractive error, as a cause of visual impairment was excluded. It was also estimated that up to 75% of all blindness is avoidable. Glaucoma is the second leading cause of blindness globally as well as in most regions according to the WHO survey 2002. Objective: To study the causes of secondary glaucoma Methods: A Hospital based follow up study was done for two years among 50 patients with secondary glaucoma. Detailed history, Local examination of both the eyes was done including examination of adnexa, eye balls, anterior segment, and posterior segment. Based on these, a clinical diagnosis was formed. Investigations like urine for albumin and sugar, total count, differential count, ESR, x ray of orbit and optic canal were done for each and every patient. On the basis of final diagnosis, patient was subjected to medical or surgical management as per the requirement. Post operatively the specimen was sent for histopathology reporting. All the patients were followed for 4-6 months on monthly basis. Data was analyzed using proportions. Results: It was seen that different variety of causes can cause secondary glaucoma at different ages in different ways. It is clear that lens induced glaucoma was the most common cause. The most common presenting complaint was pain in the affected eye reported by 29.8% followed by redness (23.8%), watering (19.1%) and diminished vision in 15.7%. The most commonly employed surgical technique was lens extraction (60%) followed by broad basal iridectomy (18%). Conclusion: It was concluded that better results were obtained if the primary cause was treated early. But the prognosis in case of ocular inflammation like acute uveitis, traumatic uveitis the results were not satisfactory. On the whole, early the treatment, better the results.
Authors and Affiliations
E Vasanthamurthy, G Laxmi Prasad
Keywords
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