Lens Induced Glaucoma, in a Tertiary Hospital, Ethiopia
Copyright (c) 2023 Ethiopian Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
- Articles
- Submited: August 20, 2022
-
Published: September 25, 2023
Abstract
Abstract
Background: Lens-induced glaucoma after untreated mature cataract is the commonest cause of secondary glaucoma in the developing world. The purpose of this study was to determine the common clinical features of lens-induced glaucoma, its management, and its outcome at Menelik II tertiary hospital, in Ethiopia.
Methods and Materials: This was a retrospective study of cases that were seen at the hospital from January to December 2020. Lens-induced glaucoma patients who undergo cataract extraction were included in the study. Medical charts review was performed, and analysis was done using SPSS version 24.0 Software.
Results: Forty-four lens-induced glaucoma patients were included in this study. Female participants were 65.9%. The mean age was 63.3(±Standard deviation (SD) 8.7) years. Phacomorphic glaucoma 88.6% was the leading cause. The common clinical symptoms identified were eye pain (100%), visual reduction (97.7%), and redness (38.8%). Visual acuity (3/60) or worse was reported in all patients with mean intraocular pressure of 37.3mmHg. After cataract surgery, the mean intraocular pressure reduced to 14.5± 6.55 mmHg while vision improved to better than 6/60 in 28 (63.6%) of patients. Of these, 21 (75%) patients seek medical treatment in the first two weeks of initial symptom.
Conclusion: This study has identified the main cause of LIG was phacomorphic with the common clinical findings of pain, redness, and visual reduction. Early cataract extraction was associated with better final visual recovery and intraocular pressure control. An intraoperative complication was often observed in those with delayed presentation. Therefore, creating awareness among the general population and healthcare givers is key to the timely management of lens-induced glaucoma.
Downloads
References
- Yemane B, Worku A, Bejiga A. National Survey on Blindness, Low Vision, and Trachoma in Ethiopia. Ethiopian Journal of Health Development. 2007; 21:204–10.
- Melese M, Alemayehu W, Bayu S. et al. Low Vision and Blindness in Adults in Gurage Zone, Central Ethiopia. Br J Ophthalmol. 2003; 87: 677–80.
- FMOH 2010, National Survey on Blindness, Low Vision, and Trachoma.
- Zelalem A, Reda T, Fitstum B. Barriers to cataract surgical uptake in central Ethiopia. Middle East Afr J Ophthalmol.2013 Jul-Sep; 20(3): 229–33.
- Shrestha R., Godar MS., Gurung S., et al. Lens-induced glaucoma in Western Nepal. Nepal J Ophthalmol. 2019; Vol 11 (22): 145-151.
- Prasada R, I. S. V. S. A clinical study on visual outcome & visual prognostic factors of lens- induced glaucoma. Journal of Evolution of Medical and Dental Sciences. 2015; Vol. 4, Issue 40, May 18; Page: 6960-66.
- Alemayehu W., Yilikal A. Prevalence of cataract blindness in rural Ethiopia. Ethiopian Journal of Health Development.2011; Vol. 25(2).
- Esmael.H., Zebiba.E., Mattew. J.B. Cataract Surgery in Southern Ethiopia: Distribution, Rate, and Determinants of Service Provision. BMC Health Service Research. 2013; 13:480.
- Tomey K, Al-Rajhi A. Neodymium: YAG Laser Iridotomy in The Initial Management of Phacomorphic Glaucoma. Ophthalmology.1992; 99: 660-5.
- Community Eye Health. February 2018; Vol. 30, No. 100; pages 88-89. Published online.
- Rajkumar P, Suryachandra M. A clinical study on lens-induced glaucoma and its visual outcome in patients visiting RIMS, Srikakulam. Journal of Evolution of Medical and Dental Sciences. 2015; Vol. 4, Issue 59, July 23; Page: 10294-300.
- Jarwal PN. Clinical study of Lens-induced Glaucoma at Community Health Center in India. TNOA J Ophthalmic Sci Res. 2020; 58(3):162.
- Sharanabasamma M, Vaibhav K. Management, and visual outcome in patients of lens-induced glaucoma at a tertiary eye care hospital in South India. J Curr Glaucoma Pract .2016;10(2):68-75
- .14 Venkataratnam P, Srihari A, Ramdas P., et al. Clinical types, IOP control and visual outcome in lens induced glaucoma. Journal of Evolution of Medical and Dental Sciences 2015; Vol. 4, Issue 92, November 16; Page: 15798-801.
- Rijal AP1, Karki D. Visual Outcome and IOP Control After Cataract Surgery in Lens Induced Glaucoma. Kathmandu University Medical Journal 01/2006; 4(1):30-3.
- Pradhan D, Hennig A, et al. A Prospective Study of 413 Cases of Lens-induced Glaucoma in Nepal. Indian J Ophthalmol.2001; 49:103-7.
- Ramakrishanan R., Devendra M, Mohideen A. Kader, et al. Visual Prognosis, Intraocular Pressure Control and Complications in Phacomorphic Glaucoma Following Manual Small Incision Cataract Surgery. Indian J Ophthalmol. 2010 Jul-Aug; 58(4):303–6.
- Yaakub A, Abdullah N, Siti-Raihan I et al. Lens-Induced Glaucoma in a Tertiary Center in Northeast Malaysia. Malay's fam physician. 2014;9(2):37.
- https://www.who.int/news-room/fact-sheets/detail/blindness-and-visual-impairment October, 2021.
- Raghunandan K, Sandeep T, Pratik G, Akshay B. Lens-induced glaucoma: The need to spread awareness about early management of cataracts among the rural population. ISRN ophthalmology. volume 2013; Article ID 581727.
- Mohinder S, Hassan A, et al. Intraocular Lens Implantation in Phacomorphic Glaucoma. Bahrain Medical Bulletin. 2002;24(3):88–90.
- Ruksana A., Lisa M.T. Rengaraj V., et al. Outcome and reason for late presentation of lens- induced glaucoma: A prospective study. Ophthalmology vol 128, issue 11, Nov 2021, pages 1500-04.
