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Category: Volume 06 Issue 04 April 2018
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Title: To study visual outcome with early intervention in secondary glaucoma following closed globe injury in a tertiary level hospital

Authors: Dr Anjo Stephan, Dr Nazima Bai. A, Dr K. Kanchana

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i4.46

Abstract

Background: Closed globe injuries are now on the rise and it is the third most common cause of secondary glaucoma. With serious implications on the ocular integrity and the potential to cause even total blindness, closed globe injury demands keen ophthalmological management and follow up.

Objective: To study the visual outcome of secondary glaucoma following closed globe injury.

Methodology: A descriptive study of 75 cases of closed globe injury admitted in a tertiary level hospital in southern part of Kerala. Data analysed included age, sex, cause, mode of injury ,medical and surgical treatment given, initial and final visual acuity ,intraocular pressure at the time of admission and in follow up period and extent of ocular injury.

Results: In the present study, subluxation of lens was noticed in 2.66% cases and dislocation of lens in 6.66% of cases.  Both cases of subluxation were managed medically. All the 4% cases of posterior dislocation of lens also were managed surgically. All the 2.66% cases of anteriorly dislocated lens also underwent surgery. During 6 months of follow up only 5.71% developed angle recession glaucoma and patient who developed angle recession glaucoma underwent surgery.

Conclusion: The complication which develops because of elevated intraocular pressure after trauma are usually preventable if managed early or appropriately. In our study lenticular injury and injuries with posterior segment changes had poor visual prognosis

Keywords: lens subluxation, lens dislocation, closed globe injury, angle recession.

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Corresponding Author

Dr Nazima Bai.A

Associate Professor in Ophthalmology, Department of Ophthalmology,

Government T. D. Medical College, Vandanam , Alappuzha. Kerala, Pin 688005

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Phone no: 9846440848