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Lens-Induced Glaucoma: The Need to Spread Awareness about Early Management of Cataract among Rural Population
Author(s) -
Raghunandan Kothari,
Sandeep Tathe,
Pratik Gogri,
Akshay Bhandari
Publication year - 2013
Publication title -
isrn ophthalmology
Language(s) - English
Resource type - Journals
eISSN - 2090-5696
pISSN - 2090-5688
DOI - 10.1155/2013/581727
Subject(s) - medicine , cataracts , cataract surgery , ophthalmology , glaucoma , visual acuity , intraocular pressure , optometry , eye care , presentation (obstetrics) , senile cataract , intraocular lens , retrospective cohort study , surgery
Purpose . To determine the clinical profile of lens-induced glaucoma (LIG), reasons for late presentation, and outcome of current management. Methods . Retrospective analysis of 50 eyes with LIG over a 6-year period between 2005 and 2011 at a tertiary care centre in rural India. Visual acuity and intraocular pressure (IOP) were assessed preoperatively and postoperatively along with postoperative complications. Results . Fifty (2.4%) of 12,004 senile cataracts operated at Pravara Rural Hospital, Loni, presented with LIG. There were 39 (78%) phacomorphic cases and 11 (22%) phacolytic glaucoma. Following cataract surgery, 21 of 50 operated eyes (42%) had visual acuity 6/60 or worse. Conclusion . The results highlight the importance of early diagnosis and treatment of visually disabling cataract. There is a need to educate both the patient and the cataract surgeon about the dangers of lens-induced glaucoma and of about poor outcome if treatment is delayed.

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