Clinical Study of Visual out Come of Lens Induced Glaucomas
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 2
Abstract
During the period of september 2012 to october 2013, we selected 100 patient of lamp induced glaucomas, to study the visual outcome after temporay management medically followed by surgery and weekly follow up. This study was taken in Regional eye hospital kurnool, kurnool medical college kurnool All 100 patents of LIG; were in patients. For temporary medical management, to reduce IOP in to operable level, we used carbonic an hydrase inhibitor,(A cetazolamide 250 mg) Beta block as ( Timolol maliate 0.5%), mydrictics ( phenylepherine 20%),mioties(pilo carpinea 2%), followed by further use of steroids to reduce uveitis. And finally symptomatic treatment like antibiotic. Sedetive, anti inflammatory analgesic and anti pyretics were used. Under 20% xylocaine local anesthesia by peribulbar and facial blocks for LIG cases we did extracapsular cataract extraction(ECCE), intracapsular cataract extractiono(ICCE); small incision cataract surgery(SICS) accordingly IOL(Intra ocular lens implantation done. In hundred patient of LIG'S the finaly results were as follows, between 66-75 years of patients (40%) commenly affected; left eye incidances are more 62 patients (62%), phacomorphic glaucoma were 68% phacolytic glaucoma were 24%, lens particle glaucoma 4%, subluxations and dislocation of lens 4 % symptomatic cases with in one week duration 58 cases, 58% noticed. Pre operative maximum Iop was > 40 mm of Hg in 34 cases 34% Out of 58 cases 62% had good visual prognosis and 24% had usefull visual prognosis, 10 cases had poor visual prognosis, 1% had total loss of vision. Statistically, chi-squaretest (x2 ) and proabilility values (P) were used. P, value less than <0.05 was considered significant. So finally to conclude in our study, we achieved good visual prognosis with in 1 week duration of the LIG patients. So early detection of the LIG and management given BCUA62%
Authors and Affiliations
Dr. G. Narendranatha Reddy
Keywords
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