Comparative study of early versus delayed presentation of lens induced glaucoma: A retrospective study conducted among population in remote hilly areas of Uttarakhand

Abstract

To compare the causes and visual outcome of lens induced glaucoma amongst those presenting early (within 7 days) with those presenting late (after 7 days). This was a retrospective study which included a total of 50 cases diagnosed as lens induced glaucoma. Patients were divided into two groups- group A presenting within 7 days and group B presenting after 7 days. All the patients underwent manual small incision cataract surgery with PMMA lens implantation. Visual outcome and intraocular pressure in both the groups preoperatively and on postoperative day 30 were compared. Majority of patients were females and in the age group of 61-70 years. Phacomorphic glaucoma was the main cause of lens induced glaucoma accounting for 64% of the cases. Good vision in the other eye was the most common reason of delay in seeking medical aid (45.45%). Postoperative day 30 assessment of visual outcome showed that majority of group A patients had a visual acuity of 6/6 to 6/12. Group B patients showed majority with visual acuity of 6/18 to 6/60. Postoperative IOP of 74% patients was well controlled below 21 mm Hg at 1 month. The final BCVA in our study was found to be better in those who presented early, highlighting the importance of early diagnosis and efficient management.