Clinical profile, visual outcome and complications after cataract surgery in patients with lens induced glaucoma Jayakumar Sangeetha1, Krishnappa Kanthamani2,*, Darshan SM3, Meghana Chirra Reddy Gari4, Laxman Borra Harish4 1Assistant Professor, Sri Devaraj Urs Medical College, Kolar, Karnataka, India 2Professor, Sri Devaraj Urs Medical College, Kolar, Karnataka, India 3Senior Resident, Sri Devaraj Urs Medical College, Kolar, Karnataka, India 4Junior Resident, Sri Devaraj Urs Medical College, Kolar, Karnataka, India *Corresponding Author: Kanthamani Krishnappa Email: dr.kanthamanik@gmail.com
Online published on 14 January, 2019. Abstract Purpose To assess the clinical profile of lens-induced glaucoma (LIG), reasons for late presentation, and outcome of medical and surgical management. Materials and Methods Retrospective analysis of 48 eyes with LIG over a 5-year period between 2014 and 2018 at a tertiary care centre in rural Southern India. Type of LIG, symptoms, preoperative and postoperative corrected distant visual acuity (CDVA), intraocular pressure (IOP), intraoperative and postoperative complications were assessed. Results Forty-eight eyes of 23(47.9%) males and 25(52.1%) female aged between 50 to 80 years were included in this study. 32(66.7%) cases had presented with phacomorphic glaucoma and 13 (27.1%) with Phacolytic glaucoma who underwent medical and surgical treatment of the same. Mean pre-operative and postoperative IOP was 35.60 ± 5.81 mmHg and 20.417 ± 2.33 respectively. Similarly, the mean preoperative and postoperative CDVA was 1.44 ± 0.76 and 0.34 ± 0.20 respectively which was statistically significant. (P <0.001). Most commonly observed complications were shallow anterior chamber, striae keratopathy and iritis that resolved with prompt postoperative treatment. Conclusion LIG is an important vision-threatening disease occurring in the elderly due delayed treatment of mature cataract. This study shows that it is important to conduct periodic screening of the elderly to identify cataracts and manage it accordingly to prevent irreversible blindness. Top Keywords Intraocular pressure, Glaucoma, Phacomorphic, Phacolytic. Top |