TO STUDY THE CLINICAL PROFILE OF LENS INDUCED GLAUCOMA IN A TERTIARY CARE CENTRE IN WESTERN MAHARASHTRA
Journal Title: International Journal Of Advances In Surgery - Year 2017, Vol 1, Issue 2
Abstract
Introduction- Aim of this research was to study the clinical profile and risk factors associated with lens induced glaucoma in a tertiary care centre in western Maharashtra, To study the demography of patients with LIG, To know the risk factors of LIG Patients and Methods: This study was conducted in OPD of Department of Ophthalmology in a tertiary care centre in western Maharashtra. This was an observational descriptive study. This study was conducted from September 2016 to August 2018. All cases diagnosed as secondary glaucoma in the OPD of Department of Ophthalmology and subsequently admitted to ward were included in the study. This was continued till the desired sample size of 100 cases achieved. Both male and female patients included. The anterior segment was examined using Slit lamp, Visual acuity, Perimetry, gonioscopy and fundus evaluation done. Results: Secondary Glaucoma according BCVA (Best Corrected Visual Acuity). Out of 100, 32% cases had visual acuity ranging from 6/60 - 6/18 and another 33% had visual acuity ranging from 5/60 & PL+. 15% had no perception of light.In anterior segment examination of Secondary Glaucoma cases <1/4 CT PACD in 32% cases, Neovascularization of Iris in 20%, Peripheral Iridectomy in Pupil in 25%, Subluxation of lens in 37% and PEX (bulle's eye) in 16%.In fundus examination of Secondary Glaucoma. Inferior and Nasal thinning was there in 37% and Inferior, Nasal and Superior in 47% cases in Neuro retinal rim examination, C:D was <0.5 in 36%, Disc haemorrhage was present in 59%, Peripapillary atrophy was present in 61%. Perimetry finding in cases of Secondary Glaucoma. Superior Scotoma (SS) was found in 37%, Superior Arcuate Scotoma (SAS) was there in 37% cases. Gonioscopy finding in the Secondary Glaucoma cases. Highest cases were having grade 3 (40%) and 5% cases were having grade 0. Lens induced glaucoma cases. Out of 18 cases of Lens induce Glaucoma, 11 (61.1%) were having Phacomorphic glaucoma followed by Phacolytic glaucoma in 5 cases (27.8) and one case of traumatic Lens Induced Glaucoma and one case of Pseudoexfoliation Lens Induced Glaucoma. Conlusion: Lens induced glaucoma was found in 18% cases.Out of 18 cases of LIG 11 (61.1%) were having Phacomorphic glaucoma ,Phacolytic glaucoma in 5 cases (27.8)
Authors and Affiliations
Dr. Gaurav Brahmbhatt, Dr. Renu Magdum
Keywords
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