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A Clinical Study of Lens Induced Glaucoma

G Adarsh Reddy , G Narender Reddy1 , G Adarsh Reddy2

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Ophthalmology and Allied Sciences 5(2):p 222-230, May-August 2019. | DOI: DOI: http://dx.doi.org/10.21088/oas.2454.7816.5219.11

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G Narender Reddy, G Adarsh Reddy. A Clinical Study of Lens Induced Glaucoma. Ophthalmol Allied Sci. 2019;5(2):222–230..

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

Introduction: Cataract is a major cause of preventable blindness in India accounting to 62.6% [1,2]. A significant proportion of patients still present with advanced cataract leading to complications like Lens-induced glaucoma. There is an ever-increasing backlog of cataract due to the population explosion, increased life expectancy, and low productivity in terms of utilization of the available surgical services. Late reporting for treatment of cataract leading to serious complications like LIG remains one of the most important cause of irreversible loss of vision,. Aims: The aim is to study the clinical profile of lens induced glaucoma by intraocular pressure pre and post operatively and to assess the final visual outcome in lens induced glaucoma. Materials and Methods: This is a prospective hospitalbased study. Eighty cases were studied, encountered during the period of 3 years. Results: The total number of cases studied were 80, of which 52 were female and 28 were male showing that occurrence of LIG is more common in females and socioeconomic factors play a major role. Most common type was found to be phacomorphic type of lens induced glaucoma. The occurrence of phacoanaphylactic glaucoma and glaucoma due to subluxation of lens was zero in this study. BCVA at 6 weeks post operatively was 6/18 or better in 57.5% patients. Conclusion: Inspite of easy availability of services for cataract surgery socio-economicconditions, poor health education and negligence towards symptoms andwas found to be the main reason for occurrence of LIG. This study signifies that there is a great need to impart health education to thepublic about the importance of timely surgery for better visual outcome.

Keywords: Cataract; Lens-induced glaucoma (LIG); Phacomorphic type.

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G Narender Reddy, G Adarsh Reddy. A Clinical Study of Lens Induced Glaucoma. Ophthalmol Allied Sci. 2019;5(2):222–230..

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DOI: DOI: http://dx.doi.org/10.21088/oas.2454.7816.5219.11

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