No abstract

BACKGROUNDGlaucoma is the second leading cause of blindness in the adult population in India. The global prevalence of glaucoma for population aged 40 to 80 years is estimated to be 3.54% and the projected number of people with glaucoma worldwide will increase to 111.8 million in 2040. This creates a need for early diagnosis and prompt management of glaucoma, especially in the underprivileged rural areas that lack awareness and facilities. These estimates are important in guiding the designs of glaucoma screening, treatment and related public health strategies. Purpose of Study-To determine the demographic distribution of glaucoma and its types in Punjab.

Objectives: The aim of the study was to evaluate outcomes of sulcus placement of the intraocular lens (IOL) with optic capture in complicated case scenarios with compromised capsular bags. Materials and Methods: Records of 31 patients (31 eyes) who had received implantation of IOL in the sulcus with optic capture as a primary or secondary procedure were retrospectively reviewed. The optic was captured in the capsulorhexis or remainder capsular opening while the haptics were placed in the sulcus. Primary outcome measures were the post-operative stability and centration of IOL, evaluated using slit-lamp examination and photography. Indications for optic capture and post-operative improvement in corrected distance visual acuity (CDVA) were also noted. Results: Optic capture was well maintained and IOL well-centred with haptics secured in the sulcus in all patients at 1 month. Posterior capsular rupture during primary cataract surgery was the most common indication, followed by decentred IOL as a secondary procedure. CDVA improved from log MAR 0.9 ± 0.43 at baseline to log MAR 0.23 ± 0.15 at 1-month post-operative. Conclusion: Optic capture is a safe and effective technique to achieve good IOL stability, centration, and visual acuity.