Praveen Kumar, P (2020) A Prospective Observational study to Assess the Post-Surgical Outcomes following Cataract Surgery in Patients with Lens Induced Glaucoma. Masters thesis, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai.
|
Text
220337620praveen_kumar.pdf Download (3MB) | Preview |
Abstract
BACKGROUND: Glaucoma is the leading cause of irreversible blindness worldwide with an estimated 60.5 million people affected in 2010 and 12 million people are estimated to be blind due to this disease. India is home to 12 million people with glaucoma and 1.5 million are blind due to it, as per the major prevalence studies in India in the recent past. AIM OF THE STUDY: The main aim of this study was to find out whether a good post-operative visual outcome and Intra Ocular Pressure (IOP) control in patients with Lens Induced Glaucoma (LIG) is obtained using appropriate early medical and surgical management. METHODOLGY: A prospective observational study was carried out for 101 patients who attended Glaucoma clinic at Aravind Eye Hospital, Madurai between January 2018 – June 2018. Ethical approval was obtained from the Institutional Ethical Committee and the IEC no for the study is IEC201800254 Patients diagnosed with LIG were included for the study and those with secondary glaucoma were excluded. With a Confidence Interval (CI) of 95% and statistical significance estimated to be p < 0.05 the statistical analysis was done using STATA (11.1), TEXAS, USA, Software. RESULT: The mean age among 101 patients who were recruited for the study was 94.36 with SD ±9.20. 50.5% of the study subjects were male. With a CI of 95% and statistical significance of (P<0.05) the results were analysed. 35.6% of the patients were diagnosed with LIG in the age group between 61 – 70 years. 20.8% of the patients presented with the acute symptoms after 2 weeks whereas 52.5% presented within 1 week. The right eye was affected in 56.4% of the study participant. Phacolytic Glaucoma (54.5%) was the major incidence of LIG compared to the other group of glaucoma. When comparing the incidence of LIG with gender it is found that both male and female had equal chance of getting infected by the disease and 63.6% of female were affected by Phacomorphic glaucoma and 60.0% male were affected by Phacolytic glaucoma. Hypermature cataract (54.5%) was found to be the highest cause of LIG. The result concluded that there is a decrease in IOP with increase in the visual outcome when the patient was treated early and presented within one week of acute symptoms. CONCLUSION: The result from this study concludes that the visual outcome will be maximized with a decrease in IOP if the patients present with the symptoms early. Despite technological advances in the medical field lack of awareness among the people, barriers to access the service and a high level negligence in certain rural community is still a bottleneck today.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221713456 |
| Uncontrolled Keywords: | Post-Surgical Outcomes, Cataract Surgery, Lens Induced Glaucoma. |
| Subjects: | MEDICAL > Ophthalmology |
| Depositing User: | Subramani R |
| Date Deposited: | 14 Feb 2021 16:18 |
| Last Modified: | 14 Feb 2021 16:18 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14207 |
Actions (login required)
 |
View Item |
