Delayed presentation of hypermature cataract in a developing nation: causes, risk of developing lens-induced glaucoma and visual prognosis following cataract surgery

Session Details

Session Title: Presented Poster Session: Glaucoma II

Venue: Poster Village: Pod 3

First Author: : D.Choudhury INDIA

Co Author(s): :    N. Dash                       

Abstract Details

Purpose:

To evaluate the causes of delayed presentation and development of lens-induced glaucoma (LIG) among patients presenting with hypermature cataract and its effect on visual prognosis.

Setting:

Prospective, observational, questionnaire-based, single-centre study conducted at a tertiary care hospital in coastal Odisha, India.

Methods:

117 patients presenting with hypermature cataract, over a period of 1 year (February 2018-January 2019) were included in the study. Presence of LIG was noted. After manual small incision cataract surgery,  best corrected visual acuity(BCVA) was noted on post-operative day 1 and final BCVA on 4 weeks post-operation. Final BCVA was compared with delayed presentation.

Results:

The most common reason for delayed presentation was good visual acuity in the other eye in 63 cases(53.9%). Others included lack of access to healthcare and financial distress. LIG was seen in 23 patients (19.7%) , of which 15 cases (65.2%) had a pseudophakic fellow eye. 4 patients(17.4%) had zonular dehiscence. Corneal edema and glaucomatous disc changes were seen in 24 patients (20.5%) and 17 patients (14.5%) respectively. Final BCVA was better than 20/60 in 67 cases (57.3%).

Conclusions:

Good visual acuity in the operated or unoperated fellow eye masks poorer vision in hypermature cataracts. Patient education and counseling is necessary during evaluation of hypermature cataracts to prevent them from developing Lens-induced glaucoma.

Financial Disclosure:

None