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Lens-Induced Glaucoma: The Need to Spread Awareness about Early Management of Cataract among Rural Population
Raghunandan Kothari1, Sandeep Tathe1, Pratik Gogri1
1Department of Ophthalmology, Rural Medical College of Pravara Institute of Medical Sciences, Loni, Taluka Rahata, District Ahmednagar, Maharashtra 413736, India.
Abstract:
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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