Table of Contents
ISRN Ophthalmology
Volume 2013 (2013), Article ID 581727, 3 pages
http://dx.doi.org/10.1155/2013/581727
Research Article

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

Department of Ophthalmology, Rural Medical College of Pravara Institute of Medical Sciences, Loni, Taluka Rahata, District Ahmednagar, Maharashtra 413736, India

Received 15 May 2013; Accepted 16 June 2013

Academic Editors: I. Pinilla and Y. Totan

Copyright © 2013 Raghunandan Kothari et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.