STUDY OF OUTCOMES IN PATIENTS OF CHRONIC SIMPLE GLAUCOMA UNDERGOING SMALL INCISION CATARACT SURGERY WITH TRABECULECTOMY

Aim:To study outcomes of procedure ( Small incision cataract surgery with PCIOL implantation with trabeculectomy) in terms of visual acuity , intraocular pressure and complications. Methodology: A hospital based descriptive longitudinal study was done on 22 patients with chronic simple glaucoma operated at Pravara rural hospital ,Loni. The pre-operative and post operative data was collected in terms of Visual Acuity recorded with Snellens chart and Intra Ocular pressure recorded with help of Applanation Tonometer or Non Contact Tonometer in uncooperative patients. The Trabeculectomy and SICS with PCIOL were performed at separates site.The preoperative mean IOP was 28 mmHg with good functional visual acuity ranging from Finger counting 4 meters to 6/24 with coexisting cataract. The IOP and VA were noted post operative 1 Week and 6 weeks. Results: Mean age of the patients in the study was 74 , 5 ( 22.7 %) were less than and equal to 60 years , 8 ( 36.3 % ) were between 61 and 70 years , 7 ( 31.8 % ) were between 71 and 80 years , 2 ( 9.1 %) were above 80 years .Out 0f 22 patients , 16 (72.7%) were male and 6 ( 27.3) were female .Mean intraocular pressure on post operative 1 week and 6 weeks was 17.3 mmHg and 17 mmHg respectively . Significant visual improvement was seen in patients who underwent combine surgery .Postoperative BCVA at 6 weeks below 6 / 60 in 3 patients (13.6 %) , between 6 /60 to 6/24 in 9 ( 40 .9 %) , above 6 /24 in 10 patients (45.5 %). Conclusion: Management of coexisting cataract with chronic simple glaucoma in one setting has advantage of no financial burden as financial burden is main cause of non compliance in the poor rural population.