Journal of Current Glaucoma Practice

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VOLUME 10 , ISSUE 2 ( May-August, 2016 ) > List of Articles

Original Article

Management and Visual Outcome in Patients of Lens-induced Glaucomas at a Tertiary Eye Care Hospital in South India

M Sharanabasamma, K Vaibhav

Keywords : Lens-induced glaucoma, Phacolytic glaucoma, Phacomorphic glaucoma

Citation Information : Sharanabasamma M, Vaibhav K. Management and Visual Outcome in Patients of Lens-induced Glaucomas at a Tertiary Eye Care Hospital in South India. J Curr Glaucoma Pract 2016; 10 (2):68-75.

DOI: 10.5005/jp-journals-10008-1204

License: CC BY-NC 4.0

Published Online: 00-08-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aims: To outline the different characteristics of glaucomas and to determine the risk factors and their consequences on postoperative visual acuity, intraocular pressure (IOP), and inflammation, including corneal changes and optic disk changes. Settings and designs: Longitudinal prospective study done over a period of 1.5 years in a medical college hospital. Materials and methods: Fifty patients of lens-induced glaucoma (LIG) were included. At presentation, visual acuity, IOP, and inflammation, including corneal changes, were recorded. After medical line of treatment, postoperatively patients were followed up regularly at 2 and 7 weeks interval and the same parameters were evaluated including optic disk changes. Statistical analysis used: Paired t-test, chi-square test wherever applicable with p-value < 0.05 as significant. Results: The mean age of presentation was 60.68 years with female to male ratio of 1.7:1. The best corrected visual acuity(BCVA) of 6/18 or more was found in 54% cases, whereas visual acuity of less than 6/60 was seen in 26% of cases. Visual acuity of 6/12 or better was achieved in 72% (p < 0.01) of cases with symptoms less than 2 weeks and in 59.10% of cases with IOP of less than 35 mm Hg at presentation. The mean IOP in cases with duration of symptoms of 2 to 4 weeks was 40.33 ± 9.36 mm Hg. Optic disk of the affected eye suffered damage in 42% of cases and in 80% of cases with symptoms for more than 2 weeks. Conclusion: Early diagnosis and treatment is beneficial in LIG cases.


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  1. Kanagarajan P, Nandi P, Lokeshmaran A. Prevalence of cataract blindness in a rural Puducherry. Indian Medical Gazette; 2011 Sep.
  2. Sharma RG, Verma GL, Singhal B. A direct evaluation of Scheie's operation with sclerectomy along with lens extraction in lens induced glaucoma. Ind J Ophthalmol 1983;31:639-641.
  3. Duane TD, Jaeger EA. Duane's ophthalmology. CD ROM ed. Philadelphia (PA): Corporate Technology Ventures; 1999.
  4. Albert DM, Jakobiec FA. Principles and practice of ophthalmology on CD ROM. Philadelphia (PA): Media Solutions Corporation; 1995.
  5. Pradhan D, Hennig A, Kumar J, Foster A. A prospective study of 413 cases of lens-induced glaucoma in Nepal. Indian J Ophthalmol 2001;49(3):204.
  6. Prajna NV, Ramakrishnan R, Krishnadas R, Manoharan N. Lens induced glaucomas – visual results and risk factors for final visual acuity. Indian J Ophthalmol 1996 Sep;44(3):149-155.
  7. Kothari R, Tathe S, Gogri P, Bhandari A. Lens – induced glaucoma: the need to spread awareness about early management of cataract among rural population. ISRN Ophthalmol 2013 Jun 25;2013:581727.
  8. Angra SK, Pradha R, Garg SP. Cataract induced glaucoma – an insight into management. Indian J Ophthalmol 1991 Jul-Sep;39(3):97-101.
  9. Braganza A, Thomas R, George T, Mermoud A. Management of phacolytic glaucoma: experience of 135 cases. Indian J Ophthalmol 1998 Sep;46(3):139-143.
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