Title: Clinical Profile and Visual Outcome of Phacolytic Glaucoma – A Prospective Study
Authors: Dr Lisha J Das, Dr Manoj Venugopal, Dr Mini P A
DOI: https://dx.doi.org/10.18535/jmscr/v5i2.143
Abstract
Purpose: To analyse the clinical profile, visual outcome and predisposing factors which influence the visual outcome in phacolytic glaucoma.
Materials & Methods: All clinically diagnosed cases of phacolytic glaucoma who attended ophthalmology outpatient department at a tertiary care hospital during a period of 1and ½ years were included in the study. Information regarding history and clinical presentations were recorded. Patients were examined preopera-tively and postoperatively on day 1, after 1week,3 weeks and 6 weeks. Final analysis was done at 6 weeks follow up. In a period of one and a half years 52 patients were evaluated.
Results: 80.76% of the study population belonged to lower socioeconomic class. 53.85% of them were pseudophakic and 65.28% of them had visual acuity better than 6/60 in the fellow eye. Intraocular pressure at diagnosis was more than 40mmHg in 53.84% of patients. Cataract extraction was done in all the patients. Intraocular lens could be implanted in 82.69% of the patients. Intraocular pressure was normal without any medication following surgery in 100% of subjects. On final analysis, 42.31% of the subjects had visual acuity in the range of 6/6 to 6/12; 36.54% attained visual acuity in the range of 6/18 to 6/60 and the rest 21.15% had visual acuity less than 6/60.
Conclusion: satisfactory vision in the fellow eye, lower socioeconomic background and financial constraints, all may have an important role in occurrence of phacolytic glaucoma. The definitive treatment for phacolytic glaucoma is cataract extraction. The final visual outcome is fairly good with early diagnosis and prompt treatment.
Keywords: phacolytic glaucoma; visual outcome; intraocular pressure; visual acuity.
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