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Background: Lens induced glaucoma (LIG) is the cause of poor postoperative vision even after uneventful cataract surgery.Aim: The aim is to know effect of surgery on post-operative visual acuity, intraocular pressure, inflammation including corneal changes and optic disc changes. And also the importance of early diagnosis, and efficient treatment in preventing these vision-threatening lens induced glaucomas.Setting: Basaveshwar Hospital, Mahadevappa rampure medical college Gulbarga, KarnatakaDesign: Prospective interventional study.Material and Method: This longitudinal study included 50 cases of lens induced glaucoma, admitted in the ophthalmic wards in Basaveshwar Hospital, Mahadevappa rampure medical college Gulbarga, Karnataka. All consecutive patients diagnosed as LIG on the basis of clinical symptoms and signs were included. And postoperatively patients were followed up regularly at 2 and 7 weeks interval.Statistical Analysis: The results were tabulated on microsoft excel spreadsheet and data was statistically analysed using various tests such as, Paired ‘t’ test, Chi square test and pooled chi square test wherever applicable and a P value less than 0.05 was considered significant.Conclusion: A delay in presentation of more than two weeks and intraocular pressure of more than 35 mm Hg in association with severe inflammation affects the optic nerve which would ultimately jeopardize vision, in these potentially blinding lens induced glaucomas. This study has highlighted the characteristics, management and their visual outcome in lens induced glaucomas, and also the importance of early diagnosis, and efficient treatment in preventing these vision-threatening lens induced glaucomas.

A clinical study of management and visual outcome in lens induced glaucoma