ETIOLOGICAL PROFILE OF NEOVASCULAR GLAUCOMA AT A TERTIARY LEVEL HOSPITAL
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 27
Abstract
BACKGROUND Neovascular glaucoma is a potentially blinding secondary glaucoma without pupillary block. It is associated with severe, diffuse and chronic retinal ischemia. Prevention and treatment of neovascular glaucoma early in its course is important as neovascular glaucoma carries a very guarded prognosis. The objective of the study is to find out the common aetiological factors of neovascular glaucoma in a tertiary level hospital in southern part of Kerala. MATERIALS AND METHODS This is a descriptive study of 66 cases of neovascular glaucoma which attended a tertiary level hospital in southern part of Kerala. The aetiological factors and clinical presentation of various cases of neovascular glaucoma has been analysed. Information extracted from the patients with particular reference to diabetes mellitus, hypertension, cardiovascular disease, uveitis, glaucoma, trauma and recent onset defective vision were elicited. RESULTS From the study, it was found that proliferative diabetic retinopathy is the most common cause of neovascular glaucoma (35.7%), central retinal vein occlusion stands second (30%) and unknown causes (11.4%) stand third. Other causes of neovascular glaucoma seen in the study were chronic uveitis (10%), ocular ischemic syndrome (4.3%), central retinal artery occlusion (2.9%), branch retinal vein occlusion (2.9%), Coats’ disease (1.4%) and post radiotherapy (1.4%). CONCLUSION Neovascular glaucoma was found to be an important cause of secondary glaucoma. Visual acuity at presentation was no perception of light in majority of cases with gonioscopy showing closed angle. Diabetes mellitus and hypertension has strong association with neovascular glaucoma. Most common causes of neovascular glaucoma are proliferative diabetic retinopathy and central retinal vein occlusion. Less frequent causes are chronic uveitis, ocular ischemic syndrome, central retinal artery occlusion, branch retinal vein occlusion, Coats disease and post radiotherapy. Early detection of cases which can progress to neovascular glaucoma is important as neovascular glaucoma is intractable, once the angle gets closed with fibro vascular membrane. BACKGROUND Neovascular glaucoma is a potentially blinding secondary glaucoma without pupillary block. It is associated with severe, diffuse and chronic retinal ischemia. Prevention and treatment of neovascular glaucoma early in its course is important as neovascular glaucoma carries a very guarded prognosis. The objective of the study is to find out the common aetiological factors of neovascular glaucoma in a tertiary level hospital in southern part of Kerala. MATERIALS AND METHODS This is a descriptive study of 66 cases of neovascular glaucoma which attended a tertiary level hospital in southern part of Kerala. The aetiological factors and clinical presentation of various cases of neovascular glaucoma has been analysed. Information extracted from the patients with particular reference to diabetes mellitus, hypertension, cardiovascular disease, uveitis, glaucoma, trauma and recent onset defective vision were elicited. RESULTS From the study, it was found that proliferative diabetic retinopathy is the most common cause of neovascular glaucoma (35.7%), central retinal vein occlusion stands second (30%) and unknown causes (11.4%) stand third. Other causes of neovascular glaucoma seen in the study were chronic uveitis (10%), ocular ischemic syndrome (4.3%), central retinal artery occlusion (2.9%), branch retinal vein occlusion (2.9%), Coats’ disease (1.4%) and post radiotherapy (1.4%). CONCLUSION Neovascular glaucoma was found to be an important cause of secondary glaucoma. Visual acuity at presentation was no perception of light in majority of cases with gonioscopy showing closed angle. Diabetes mellitus and hypertension has strong association with neovascular glaucoma. Most common causes of neovascular glaucoma are proliferative diabetic retinopathy and central retinal vein occlusion. Less frequent causes are chronic uveitis, ocular ischemic syndrome, central retinal artery occlusion, branch retinal vein occlusion, Coats disease and post radiotherapy. Early detection of cases which can progress to neovascular glaucoma is important as neovascular glaucoma is intractable, once the angle gets closed with fibro vascular membrane.
Authors and Affiliations
Nazima Bai A. , Kanchana K.
Keywords
Related Articles
- EP ID EP569086
- DOI 10.18410/jebmh/2018/431
- Views 82
- Downloads 0
EXTRACRANIAL HEAD AND NECK SCHWANNOMA: CASE REPORT
Schwannoma is a benign nerve sheath tumour composed of Schwan cells which normally produce the insulating myelin sheath covering peripheral nerves. Schwannoma is a homogenous tumour, consisting only of schwan cells. The...
STUDY OF MATERNAL AND PERINATAL OUTCOME IN MULTIFOETAL PREGNANCY
BACKGROUND Multifetal gestation is responsible for a disproportionate amount of overall perinatal mortality and morbidity. Multifetal pregnancies have increased due to fertility treatment for assisted reproductive techni...
UNUSUAL PRESENTATION OF BEE STING
Bee sting in the most of the situations potentially serious. The spectrum of bee sting disease ranges from mild reaction to acute tubular necrosis and some-times death. Here we are reporting a rare case of right facial p...
CLINICAL AND SOCIO-DEMOGRAPHICAL STUDY OF PAEDIATRIC OCULAR INJURIES
BACKGROUND Ocular trauma can be a devastating injury, causing disability for a lifetime in children. Once described as the “neglected disorder,” has recently been highlighted as a major cause of visual morbidity. Globall...
A RETROSPECTIVE ANALYTICAL STUDY OF PERMANENT VISUAL DISABILITY IN NORTHWEST TAMILNADU
BACKGROUND Impairment in vision is a worldwide problem of socio-economic significance. This study was carried out with objective of analysing various causes of permanent visual disability in North West rural Tamilnadu, I...