A STUDY OF FACTORS AFFECTING VISUAL OUTCOME IN LENS INDUCED GLAUCOMA

Dr Sanjali Tadas; Dr Vivek M Sahasrabudhe

Volume : IX, Issue : VIII, August - 2020

A STUDY OF FACTORS AFFECTING VISUAL OUTCOME IN LENS INDUCED GLAUCOMA

Dr Sanjali Tadas, Dr Vivek M Sahasrabudhe

Abstract :

Background: Lens induced glaucoma (LIG) is one of the commonest causes of secondary glaucoma1 in India requiring immediate attention and management to prevent blindness. There has been a significant improvement in the outcome of cataract surgery in patients with LIG, but even today the visual prognosis is guarded. Materials and Methods: This prospective observational descriptive longitudinal study was conducted in a Tertiary care hospital with the aim to study the various factors affecting visual prognosis in LIG.59 cases of lens induced glaucoma were included who had attended the hospital over a period of eighteen months, from 1st January 2018 to 1st July 2019. Results: Most common type of lens induced glaucoma was “phacomorphic” variety. Most common type of cataract causing lens induced glaucoma was intumescent cataract. Duration of disease, presenting IOP, type of LIG (phacomorphic) had a significant effect on visual outcome. Most common observed complication of LIG optic atrophy. Summary: Lens induced glaucoma converts curable disease into incurable emergency and decreases the chances of good visual recovery in a normal case of cataract. There is, thus, an urgent need to create awareness regarding cataract extraction surgeries before it reaches a stage of maturity, to prevent the problem of LIG.