scholarly journals Lens-Induced Glaucoma: The Need to Spread Awareness about Early Management of Cataract among Rural Population

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Raghunandan Kothari ◽  
Sandeep Tathe ◽  
Pratik Gogri ◽  
Akshay Bhandari
Keyword(s):  
Visual Acuity ◽  
Intraocular Pressure ◽  
Tertiary Care ◽  
Late Presentation ◽  
Rural India ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Current Management ◽  
Early Management ◽  
Phacolytic Glaucoma

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.

scholarly journals Clinical Outcomes of Management of Traumatic Cataract in a Tertiary Care Centre

2020 ◽  
pp. 20-23
Author(s):  
anuradha bharati ◽  
pallavi sharma ◽  
sachit mahajan ◽  
Bhavani Raina ◽  
Sanjay Kai
Keyword(s):  
Visual Acuity ◽  
Tertiary Care ◽  
Final Visual Acuity ◽  
Posterior Capsular Opacification ◽  
Care Centre ◽  
Traumatic Cataract ◽  
Tertiary Care Centre ◽  
Visual Outcomes ◽  
Operative Complications ◽  
Post Operative Complications

Background and Objectives : Ocular trauma can lead to development of cataract when natural lens is damaged by either blunt or penetrating injury. The management of traumatic cataract follows the same principle as for senile cataract but associated damage to ocular tissues and several post-operative complications may lead to suboptimal visual outcome. This study was conceptualized to evaluate the visual outcomes following management of traumatic cataracts. Material and Methods : This prospective, longitudinal study was conducted on 80 patients with traumatic cataract in tertiary care centre. Patients were managed surgically and were followed up for a period of six months. Visual acuity was measured at every follow-up visit and any post-operative complications were noted and managed, accordingly. Final visual acuity was assessed at the end of six months. Results: Maximum cases of traumatic cataract (53.75%) were observed in age group of <20 years with male to female ratio of 2.63:1. Maximum patients (92.15%) were implanted posterior chamber intraocular lens, either as a primary or secondary procedure. Uveitis and posterior capsular opacification were most common post-operative complications (30%) and 68.75% cases achieved a final visual acuity of 6/6-6/ 18 at the end of six months. Conclusions Traumatic cataract is an important cause of ocular morbidity specially in young patients. Surgery in cases of traumatic cataract can yield good visual outcomes if posterior segment is not involved and if post-operative complications are managed efficiently.

scholarly journals A STUDY ON VISUAL ACUITY OUTCOME ANALYSIS OF PATIENTS WITH APODIZED DIFFRACTIVE MULTIFOCAL IOL IN TERTIARY CARE CENTRE

2018 ◽  
Vol 7 (47) ◽  
pp. 5113-5117
Author(s):  
Ramesh Rajasekaran ◽  
Ashok Balagopal ◽  
Meenakumari Meenakumari ◽  
Prasanna Venkatesh Ramesh ◽  
Kalai Mohan
Keyword(s):  
Visual Acuity ◽  
Tertiary Care ◽  
Outcome Analysis ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Multifocal Iol

Phacolytic glaucoma: visual outcome

2017 ◽  
Vol 5 (6) ◽  
pp. 2636
Author(s):  
Venkataratnam Peram ◽  
Srihari Atti ◽  
Superna Mahendra
Keyword(s):  
Visual Acuity ◽  
Intraocular Pressure ◽  
Postoperative Complications ◽  
Tertiary Care ◽  
Visual Outcome ◽  
Posterior Chamber ◽  
Bullous Keratopathy ◽  
Care Hospital ◽  
Presenting Symptoms ◽  
Phacolytic Glaucoma

Background: This study was conducted to evaluate the visual outcome of phacolytic glaucoma, a common cause of ocular morbidity.Methods: Participants were 30 patients in a tertiary care hospital for both urban and rural population. 30 eyes of patients clinically diagnosed as phacolytic glaucoma were treated. Demographic data and duration of the symptoms of the patients before presenting to the hospital were noted. Intraocular pressure (IOP) and visual acuity were recorded preoperatively and postoperatively. Small Incision cataract surgery with posterior chamber intraocular lens implantation (IOL) was done after the control of intraocular pressure and inflammation. Postoperative complications were noted. The data was analyzed by simple statistical methods.Results: Age group distribution was 19 (63.3%) in >50-60 yrs, 9 (30.0%) in >60-70 yrs and 2(6.4%) in >70 yrs. Sex distribution was 21 (70.0%) of males and 9 (30.0%) of females. Mean age of the all the patients was 60.7 yrs (males 59.95 yrs and females 62.6 yrs). Laterality was RE in 16 (70.9%) and LE in 9 (30.0%). Duration of the presenting symptoms before reporting to the hospital was <1 week in 17 (56.6% and >1 week in 13 (43.3%). Mean IOP was 45.8 mmHg preoperatively. Visual Acuity was PL doubtful in 2 (6.6%), PL +ve in 15 (50.0%) and HM<3/60 in 13 (43.4%) preoperatively. Postoperative visual acuity at 6-8 weeks was <6/60 in 8 (26.7%) and >6/60 in 22 (73.3%). Postoperative complications were bullous keratopathy in 5 (16.6%), anterior uveitis with membrane on IOL in 7 (23.3%), posterior capsular tear in 3 (10.0%) and Zonular dialysis in 2 (6.6%). Fellow eye showed pseudophakia in 22 (73.4%), immature cataract in 6 (20.0%) and Aphakia in 2 (6.6%).Conclusions: This study concludes that a better Visual outcome in phacolytic glaucoma depends on the effective Preoperative control of intraocular pressure and inflammation.

A Prospective Study of Patients with Pseudoexfoliation Glaucoma and Its Management in a Tertiary Care Centre in South India

2021 ◽  
Vol 8 (31) ◽  
pp. 2848-2854
Author(s):  
Nishat Sultana ◽  
Priyam Gupta
Keyword(s):  
Intraocular Pressure ◽  
Optic Nerve ◽  
Medical Therapy ◽  
Tertiary Care ◽  
Pseudoexfoliation Syndrome ◽  
Age Group ◽  
Care Centre ◽  
Pseudoexfoliation Glaucoma ◽  
Tertiary Care Centre ◽  
Optic Nerve Damage

BACKGROUND Pseudoexfoliation syndrome is the most common identifiable cause of open angle glaucoma worldwide. Pseudoexfoliation glaucoma develops in 50 % of patients with pseudoexfoliation syndrome. The purpose of this study was to assess the clinical profile, intraocular pressure (IOP), gonioscopic findings, disc changes and need for medical or surgical line of management for the control of pseudoexfoliation glaucoma. METHODS It was a prospective hospital based interventional study of 68 consecutive patients diagnosed with pseudoexfoliation glaucoma, who presented to the glaucoma clinic at a tertiary care centre from Nov 2017 to Mar 2019. RESULTS 68 patients diagnosed with pseudoexfoliation glaucoma were evaluated during the study period from November 2017 to March 2019. Male predominance of 43 (63 %) was noticed. Mean age group of study population was 68 years with 44 (65 %) of patients in age group of 61 – 75 years. 55 cases had bilateral pseudoexfoliation. 85 (69 %) eyes had a pressure of > 21 mm of Hg. 97 (79 %) eyes had open angles, 4 (3 %) occludable angles, 22 (18 %) had closed angles. 4 (3 %) of eyes had cup disc ratio < 0.5, 49 (40 %) eyes had cup disc ratio of 0.5 - 0.7, 64 (52 %) had > 0.7 cupping. 38 (31 %) eyes were controlled on medical therapy with topical antiglaucoma medications. In 14 (11 %), eyes were treated with Nd: YAG PI (neodymium-doped yttrium aluminium garnet peripheral laser iridotomy) with medical treatment, 59 (48 %) eyes were taken up for triple procedure. 10 (8 %) eyes could not be controlled using medical therapy and had to be taken for surgical treatment. CONCLUSIONS Pseudoexfoliation glaucoma leads to irreversible visual loss if high IOP is not treated leading to glaucomatous optic nerve damage and visual field loss. The response to medical therapy is poor and needs surgical intervention. KEYWORDS Pseudoexfoliation Glaucoma, Intraocular Pressure, Optic Nerve Damage, Dandruff Like Material

scholarly journals Effect of Phacoemulsification on Intraocular Pressure in Cataract Patients Attending a Tertiary Care Centre in Kerala- A Retrospective Cohort Study

2021 ◽  
Author(s):  
Manoj Prathapan ◽  
Namrata Pambavasan ◽  
Smrithi Sony Thampi ◽  
Smriti Nair ◽  
Leyanna Susan George ◽  
...  
Keyword(s):  
Cohort Study ◽  
Intraocular Pressure ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Tertiary Care ◽  
Anterior Chamber Depth ◽  
P Value ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Post Surgery

Introduction: Cataract is the leading cause of preventable blindness worldwide. It is caused by the degeneration and opacification of the lens fibres. Phacoemulsification is the current treatment modality available for cataract. However, there is a possibility of an increase in the anterior chamber depth after phacoemulsification. This occurs as a result of the removal of the bulky lens matter and implantation of a thin intraocular lens, thereby reducing the intraocular pressure. Aim: To compare the preoperative and postoperative Intraocular Pressure (IOP) changes and the factors associated with intraocular pressure changes among patients who underwent phacoemulsification in a Tertiary Care Centre in Kerala. Materials and Methods: A retrospective cohort study was carried out among 610 patients, who underwent phacoemulsification surgery from January 1st, 2017 to December 31st, 2017. Using a checklist, the following data such as age, sex, Date of Surgery, Last recorded preoperative intraocular pressure of both eyes, First recorded Postoperative intraocular pressure of both eyes any time after 3 months, Axial length, Grade of cataract and comorbidities like diabetes, hypertension, dyslipidaemia, glaucoma and Coronary Artery Disease (CAD) was obtained from the hospital Information System. Data collected was entered into an MS Excel and was analysed using SPSS version 20. Frequency and percentages were calculated and association assessed using Chi-square test. Paired t-test was applied to find the mean changes in the IOP levels and p-value was ≤0.05, thus significant. Results: It was observed that there was a mean reduction of 7.907 mmHg in ocular hypertensives when compared to ocular normotensives following phacoemulsification. This finding was found to be statistically significant (p-value <0.001). There was association between grade of cataract and change in IOP which was significant with a p-value of 0.031. Conclusion: Phacoemulsification is the treatment of choice in patients with cataract. In the study, it was found that ocular hypertensives who underwent phacoemulsification had a significant drop in intraocular pressure post-surgery. Phacoemulsification can be employed in patients who have both ocular hypertension and cataract. This procedure can improve vision and in addition to having a positive effect on IOP reduction.

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