Original Articles
Assessment of clinical profile and and visual outcome following treatment inphacolytic glaucoma | |
Dr. Shweta Verma | |
Background: Phacolytic glaucoma is characterized by sudden rise in IOP. It is clinically diagnosed by the presence of corneal oedema, aqueous flare with cells, and a normal or deep anterior chamber with floating lens particles in the presence of a hypermature cataractous lens. The present study was conducted to assess clinical profile and visual outcome following treatment in phacolytic glaucoma. Material & Methods: 30 cases of phacolytic glaucoma of both genders were selected. Best corrected visual acuity (BCVA) of both eyes were recorded using snellens chart. Visual acuity, slit lamp examination, IOP measurement and fundus examination were done on all recall visits. Small Incision cataract surgery with posterior chamber intraocular lens implantation (IOL) was done after the control of intraocular pressure and inflammation. Postoperative complicationswere noted. The data was analyzed by simple statistical methods. Results: Out of 30 patients, males were 18 and females were 12. There were 16 right and 14 left eyes. 8 patients had <3 days, 12 between 4-9 days and 10 had >10 days history of symptoms. The difference was significant (P< 0.05). Pre- operativeand post- operative PL doubtful cases were 5 and 0, PL positive were 12 and 0, HM- <3/60 were13 and 2 and 3/60- <6/60 were 0 and 8respectively.Patients with visual acuity pre operative and post operative in 6/60-<6/18 were 0 and 18 and 6/18 –6/6 were 0 and 2 respectively. The difference was statistically significant (P< 0.05). Conclusion: Small incision cataract surgery with PC IOL implantation with controlled preoperative IOP and inflammation is an effective method in the management of phacolytic glaucoma. |
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