A CLINICAL STUDY ON LENS INDUCED GLAUCOMA IN PATIENTS ATTENDING GOVERNMENT GENERAL HOSPITAL,SRIKAKULAM.

Author:

Jyothirmai Tammana1,Rekha BNS2,Aparna Maridi3,Meenakshi Vepa4

Affiliation:

1. Associate Professor of Ophthalmology Government Medical College, Srikakulam.

2. Post Graduate of Ophthalmology, Government Medical College, Srikakulam.

3. Comprehensive Ophthalmology Fellowship, Globe Eye Foundation, Hoskote , Karnataka.

4. Associate Professor of Ophthalmology, Rangaraya Medical college, Kakinada

Abstract

AIM: To determine the prevalence and visual outcomes after cataract surgery in different LIG patients METHODS:In this prospective study 50 patients were taken into study. Detailed history was taken and slit lamp examination was done & IOP was recorded by AT. All the patients were treated preoperatively appropriately. Patients were operated with SICS with PC IOL implantation and Peripheral Iridectomy.During follow up a detailed Ocular examination was done including Refraction using snellens chart and IOP measurement with AT. RESULTS: Among 50 patients 21(42%)were male patients and 29(58%)were female. Maximum patients had Phacomorphic Glaucoma accounting 72% (36patients) and Phacolytic Glaucoma 24%. Highest percentage was among 40-49mmHg (52%) followed by 30-39mmHg (36%) and >50mmHg (10%). Highest patients were between 10-19mmHg (76%). Visual acuity on admission, highest patients were seen in HM positive (64%) followed by PL+(32%). Even No PL were also seen (4%). On follow up after 6weeks ,majority were seen between 6/12- 6/18(52%) CONCLUSION: LIG is an important vision-threatening disease presenting as a painful red eye. It is remaining as one of the important cause of Blindness not only because of Senile cataract but even after cataract surgery due to Glaucoma caused by neglected cataractous lens.Hence, importance should be given for timely surgery for better visual outcome .

Publisher

World Wide Journals

Reference15 articles.

1. Government of India, National Blindness and visual impairment survey 2015-2019, National Blindness Survey,2007.

2. H. Gifford(1990), “The dangers of the spontaneous cure of senile cataract,” American Journal of Ophthalmology, 17,289– 293.

3. Von Reuss,(1900)Centralblattf¨urPraktische Augenheilkunde,24, 33.

4. Irvine, S., & Irvine, A. (1952). Lens-Induced Uveitis and Glaucoma*. American Journal Of Ophthalmology, 35(4), 489-499.

5. M.Flocks, C. S. Littwin, and L.E. Zimmerman(1955) “Phacolytic glaucoma; a clinicopathologic study of one hundred thirty-eight cases of glaucoma associated with hypermature cataract,” Archives of ophthalmology, 54(1),37-45.

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