Clinical Profile, Prognostic Factors and Surgical Outcomes in Lens Induced Glaucoma: A Prospective Study from a Tertiary Care Centre in Western Maharashtra, India

Abstract

Introduction: Cataracts are a major cause of preventable blindness in India. A considerable number of patients continue to present with advanced cataracts, which can result in complications such as Lens Induced Glaucoma (LIG). LIG is a secondary glaucoma that occurs due to mature or hypermature cataracts, potentially causing significant visual impairment. Aim: To determine the clinical presentation, prognostic factors, and surgical outcomes in patients with LIG. Materials and Methods: A prospective study involving 60 patients with LIG was conducted at a tertiary care centre in Western Maharashtra, India from September 2022 to June 2024. All patients underwent Small Incision Cataract Surgery (SICS) and were followed-up postoperatively on day 1, day 7, and week 6. Results: The mean age of the patients was 69.03 years, with 66.7% being females. Symptoms such as pain, redness, headache and diminished vision were present in all patients. The mean duration of symptoms was 4.08 days. All patients presented with poor visual acuity (<6/60), and the majority had shallow Anterior Chamber (AC) depth (83.3%). The highest number of cases exhibited elevated Intraocular Pressure (IOP), with a range of 41-50 mmHg. Postoperative visual outcomes improved significantly by week 6 in 51.7% of patients. Conclusion: Early diagnosis and management of cataracts are crucial in preventing LIG and improving visual outcomes. Community outreach programs for early detection and management are essential in a developing country like India.

Keywords

• cataract
• intraocular pressure
• phacolytic
• phacomorphic
• visual acuity