Study of presentation and management outcome in patient with lens induced glaucoma
Journal Title: Medpulse International Journal of Ophthalmology - Year 2018, Vol 5, Issue 1
Abstract
Purpose: To study presentation, intraocular pressure (IOP) control, visual prognosis and outcome of management in patients with lens induced glaucoma (LIG) Methods: Total 75 patients with LIG were included in the study. The diagnosis of different types of LIG was made on the basis of clinical signs and symptoms. Medical as well as surgical management of these patients were done. Results: Among the 75 cases majority of the cases were in the age group of 61to 70 years (62.66%). The incidence was higher in females (76%) than males. (24%). In 31 cases (41.33%), right eye was affected while in 44 cases (58.67%) left eye was affected.48 cases (64%) presented within the first week, 15 cases (20%) within 2nd week and rest presented more than 2 weeks after development of symptoms. Post-operative vision in 48 cases (64%) presented within 1 week was better than 6/12 while in 15 cases (20%) presented between 1to 2 weeks was between 6/18 to 6/60 and 12(16%) cases presented after 2 weeks had poor post-operative vision of less than 6/60. 69 cases (92%) were diagnosed as phacomorphicglaucoma (PMG), 06 cases (08%) were of phacolytic glaucoma (PLG), 11 cases (14.67%) presented with IOP less than 30mm Hg, 36 cases (48 %) with IOP between 30-40mm Hg. 22 cases (29.33%) presented with IOP between40-50 mmHg Rest of the cases presented with IOP more than 50mm Hg (8%).63 cases (84%) had fairly good vision in the other eye while the remaining 12 cases (16%) had poor vision in the other eye. Conclusion: It is to be stressed upon, imparting health education and creating Awareness regarding cataract and its implications among the rural community, ophthalmic assistants and peripheral health workers.
Authors and Affiliations
Mahesh Thikekar, U S Mohite, Chandresh Nandwana
Keywords
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