Indian Journal of Clinical and Experimental Ophthalmology


Clinical profile of lens induced glaucoma at a tertiary centre in north India


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Article Type : Research Article

Author Details: Rupali Tyagi,Shakeel Tarannum*,Aeshvarya Dhawan,Suraj Mishra

Volume : 5

Issue : 2

Online ISSN : 2395-1451

Print ISSN : 2395-1443

Article First Page : 169

Article End Page : 175


Abstract

Introduction: To evaluate the clinical profile of Lens Induced Glaucoma (LIG) in remote hilly areas of Uttarakhand and determine the correlation of final visual outcome of such patients with preoperative rise of intraocular pressure (IOP) and their time of presentation.
Materials and Methods: A retrospective study was conducted on 63 eyes of 63 patients of senile cataract who were clinically diagnosed as LIGs and operated over a period of two years between August 2016 to July 2018 at SGRRIM & HS, Dehradun. The preoperative data was collected in terms of age, sex, type of LIG, time of presentation of the patient, visual acuity, OP and other clinical findings. Final outcome measure was the correlation of best corrected visual acuity (BCVA) at 6 weeks with preoperative rise of IOP and the time of presentation of patients.
Results: Majority of LIG patients were of phacomorphic glaucomas (66.7%) and in the sixth decade of life with female preponderance (2:1). Out of total 63 eyes, 39 eyes (61.9%) improved in vision after cataract surgery with majority of eyes in range of 6/60 to 6/24(47.6%) and 9 eyes (14.3%) had vision 6/18 or better at 6 weeks follow up. IOP control was less than or equal to 21 mm Hg in, 39 eyes (61.9%) at the time of discharge. The BCVA at 6 weeks was less than 6/60 in patients who presented late after one week (?2 = 14.841, p < 0 xss=removed>
Conclusion: The results clearly shows that the earlier the patient of LIG reports, better is the final visual outcome and IOP control and therefore there is a strong need of education of rural elderly population specially in remote hilly areas about the early diagnosis and treatment of visually disabling cataract and dangers of lens-induced glaucoma.

Keywords: Intraocular pressure, Lens induced glaucoma, Optic atrophy.

Doi :-https://doi.org/10.18231/j.ijceo.2019.041