DOI: 10.36347/sjams.2017.v05i04.078

Pages: 1635-1639

The aim is to assess the visual outcome and complications following manual small incision cataract surgery in eyes with lens induced glaucomas in a tribal district. All patients who presented with lens induced glaucoma at Department of Ophthalmology, Rajiv Gandhi Institute of Medical Sciences, and Adilabad from June 2008 to Feb 2017 were included in this prospective non-randomized interventional consecutive study. Anterior segment was examined with a silt lamp and intraocular pressure was measured with a schiotz tonometer and gonioscopy was done in the other eye in cases of narrow angle. Manual small incision cataract surgery with staining of the anterior capsule with trypan blue and intraocular lens implantation was done in all cases. At each follow up slit lamp examination was done and best corrected visual acuity was assessed at the end of six weeks. Total numbers of cases included in the study were 128. Preoperative intraocular pressure (IOP) was ranging from 21mm of Hg to 80mm of Hg at the time of presentation and mean IOP at the end of six weeks was 18mm of Hg The final visual outcome at the end of six weeks was 6/18 or better in 40% of the cases. Intra-operative complications were posterior capsular rupture and zonular dialysis. At the end of six weeks 8 patients (6.25%) had anterior chamber inflammation and 6 patients (4.68%) had corneal edema. A good visual outcome can be achieved with manual small incision cataract surgery in the management of lens induced glaucomas.