Management and final visual outcome of various types of the lens induced glaucoma’s attending to Narayana Medical College Hospital

Objectives: A clinical study of visual outcome and intraocular pressure control after cataract surgery in Lens Induced Glaucoma. Material and methods: A minimum of 50 cases of lens induced glaucoma were selected based on simple random sampling, who attended the department of Narayana Medical College Hospital and were diagnosed to be having Lens Induced Glaucoma. Appropriate medical management was given followed by surgical intervention. Patients were followed up on the 1st week, 4th week and 6th week postoperatively. Results: Finally after the analysis of the data, it was demonstrated that the longer the duration of symptoms and higher intraocular pressure (IOP) at presentation, the poorer the visual prognosis. It was also noticed that the intra-operative and postoperative complication were more in cases of LIG as compared to normal population. It was also noticed that after cataract extraction surgery few cases had post-operative IOP above borderline. These cases can be controlled by anti-glaucoma medication and regular follow-up of these cases. If necessary, trabeculectomy may be done in future to control the IOP. Conclusion: The incidence of postoperative uveitis was more in LIG when compared to the normal population and more so if associated with intra-operative complications. The visual recovery was fairly good in all those cases that have undergone treatment quite early. Also the higher the IOP pre- operatively, the prognosis for good vision following surgery is poor. A sustained rise of pressure for a long time was a bad prognostic factor for post-operative development of good vision. It is to be stressed upon, imparting health education and creating awareness regarding cataract and its implications among the rural community, ophthalmic assistants and peripheral health workers.