Clinical Profile of patients with Lens Induced Glaucoma: A Hospital Based Observational Study.

Dr. Dev Kant; Dr.JyotiKumari; Dr.Surffuddin; Dr. Arun Kumar Sinha

Volume : VIII, Issue : VII, July - 2019

Clinical Profile of patients with Lens Induced Glaucoma: A Hospital Based Observational Study.

Dr. Dev Kant, Dr. Jyotikumari, Dr. Surffuddin, Dr. Arun Kumar Sinha

Abstract :

Objectives: This present study was to evaluate the clinical profile of patients with lens induced glaucoma. Methods: A detailed clinical examination of both eyes including the status of lens, depth of anterior chamber by slit lamp biomicroscopy, tonometry and Gonioscopy. Based on the slit lamp examination, the type of LIG was determined. Phacomorphic glaucoma was diagnosed by circumcorneal congestion, corneal oedema, shallow anterior chamber, dilated and fixed pupil, intumescent cataract. And phacolytic glaucoma was diagnosed by marked diminution of vision, corneal oedema, normal or deep anterior chamber containing floating lens proteins and/ or pseudohypopyon in some cases, and hypermature morgagnian cataractous lens in some cases. Results: Data was analyzed by using simple statistical methods with the help of MS–Office software. All data was tabulated and percentage was calculated. Conclusions: This present study concluded that the lens induced glaucoma was commonly seen in older age group female patients. Phacomorphic glaucoma was very common than phacolytic glaucoma. Majorities of cases were come in hospital with longer duration of symptoms. Most common surgical procedure SICS with PCIOL was performed in majorities of cases. 6/6–6/12 BCVA was achieved in most of the cases of lens induced glaucoma at the time of last follow up. Hence, even after advanced surgical techniques being invented in recent decades and immense efforts of National Programme of Control of Blindness, Lack of awareness among especially rural population of India is causing them to remain with cataractous lens for a prolonged period. So necessary steps should be taken to health educate especially Rural population of India, the importance of timely surgery for better visual outcome and the dangers of poor visual result if cataract surgery is delayed.