Prevalence of primary open angle and primary angle closure glaucoma in patients with their outcome after medical and surgical treatment at department of ophthalmology of MB hospital, Udaipur, Rajasthan


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Article type :

Original Article

Author :

Vijay Gupta, Mamta Meena, Sameer Jagswal

Volume :

5

Issue :

4

Abstract :

Introduction: This study is conducted to evaluate the prevalence and progress after medical and surgical treatment of primary open angle and angle closure glaucoma patients. Materials and Methods: A study conducted at Ophthalmology department of RNT medical college and MB Hospital, Udaipur during the period of 1 year and it included a total of 60 patients of glaucoma. Inclusion criteria: patients above 40 years fulfilling ISGEO criteria of Glaucoma diagnosis. Exclusion criteria: Patients below 40 years and patients having congenital or secondary glaucoma. Results: The prevalence of primary open angle and angle closure glaucoma was 1.37% and 0.42% with overall prevalence of glaucoma in our study was 1.78%. In primary angle closure 18 eyes were given surgical and no medical treatment. In primary open angle glaucoma 14.28% patients were on monodrug therapy, 19.04% were on double drug therapy, 47.62% were on triple drug therapy, 19.04% were on quadruple drug therapy. In primary angle closure glaucoma 27.77% patients had undergone Iridotomy, 27.77% had Trabeculectomy, 22.24% had prophylactic Iridotomy, 11.11% had Cataract surgery and 11.11% had trabeculectomy with cataract surgery. Conclusion: It is concluded that primary open angle glaucoma is more prevalent then angle closure glaucoma. Surgical treatment is preferred for Primary angle closure glaucoma and no patients having primary open angle glaucoma were undergone surgery.

Keyword :

 Primary angle closure glaucoma, Primary open angle glaucoma, Intraocular pressure.