DOI: 10.36347/sjams.2017.v05i11.036

Pages: 4489-44794

To study the profile of the stages of Primary Angle Closure Glaucoma (PACG). Between October 2013 and May 2017,all consecutive patients of primary angle closure glaucoma(PACG) were enrolled at Glaucoma outpatient clinic (OPD) in Government General Hospital, tertiary centre, Nellore, after subjecting the referred patients to comprehensive eye examination. Age and sex distributions, symptoms, the best corrected visual acuity, intraocular pressure, gonioscopy, disc evaluation and visual fields, and status of the second eye was recorded, with respect to the three stages of angle closure glaucoma: PACS, PAC and PACG. One hundred eyes of fifty patients with a diagnosis of primary angle closure disease were enrolled at Glaucoma outpatient clinic in Government General Hospital, tertiary centre Nellore, after subjecting the patients to complete eye examination by a single glaucoma specialist. The mean age of the patients included in our study was 56.74 years ± 7.3years. 37 patients (74%)presented with complaints of diminution of vision as main symptom, followed by periocular pain, redness, coloured haloes and other complaints PACS, PAC and PACG were found in 18(18%), 12 (12%) and 69 eyes (69%) respectively. Mild, moderate, severe visual impairment and blindness was found in 5 (7.2%), 32 (46.4%), 11 (15.9%), 21(31%) cases respectively. Primary angle closure glaucoma (PACG) constituted69% of all adult glaucomas seen. 18% of these had primary angle closure suspect(PACS), 12% had primary angle closure(PAC). Angle closure glaucoma occurred maximally in the sixth decade and females constituted 72% of those affected. 19 patients had bilateral PACG. 16 patients were unilaterally blind with visual acuity less than <3/60.