Glaucoma in India

Thomas, Ravi; Paul, Padma; Muliyil, Jayaprakash

doi:10.1097/00061198-200302000-00016

Cited by 40 publications

(43 citation statements)

References 19 publications

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“…3,[5][6][7] Combined surgery is effective in lowering IOP but carries risk of postoperative complications and failure. [8][9][10] The incidence of complications can be reduced by adopting the new surgical technique of safe surgery system trabeculectomy developed by Peng Khaw at Moorfields Eye Hospital.…”

Section: Introductionmentioning

confidence: 99%

Surgical outcome of safe surgery system trabeculectomy combined with cataract extraction

Raje¹,

Rathi

Agashe

et al. 2014

Eye

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Purpose To determine the efficacy of safe surgery system trabeculectomy combined with manual small incision cataract surgery/ phacoemulsification in primary glaucoma coexistent with cataract. Methods This is a retrospective analysis of 105 cases who underwent single-site combined surgery between January 2008 and December 2009. Safe surgery system trabeculectomy with diffuse and posterior application of mitomycin C was performed in all cases. Cataract extraction was done either by Manual Small Incision Cataract Surgery (MSICS) or phacoemulsification. Main outcome measures were success rate of trabeculectomy, as determined by four different IOP goals and incidence of postoperative complications. Analysis was performed using R-2.15, and the significance was tested at 5% level. Results The minimum follow-up period was 12 months. The overall success rates (with or without medication) when safe surgery system trabeculectomy was combined with MSICS were 91, 70, and 51% for IOP r18, r15, and r12 mm Hg, respectively, and target IOP was achieved in 72% cases. The mean IOP reduction was 43.8% with MSICS and 42.08% with phacoemulsification. The surgical outcome was not significantly different for both techniques. Postoperative complications were infrequent and comparable. Conclusion The Safe Surgery System Trabeculectomy combined with cataract surgery offers excellent IOP control with minimal postoperative complications. It offers an effective and improved solution for primary glaucoma coexistent with cataract found in developing countries.

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Section: Introductionmentioning

confidence: 99%

Surgical outcome of safe surgery system trabeculectomy combined with cataract extraction

Raje¹,

Rathi

Agashe

et al. 2014

Eye

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“…[15] There are an estimated 12,000 ophthalmologists, (about one per 100,000 population including, depending on the definition, about 25 glaucoma specialists) in India and, as in the rest of the developing world, they are located mainly in the cities. [316] With an expected increase in and aging of the population, glaucoma is poised to become an even more important cause of ocular morbidity in the developing world.…”

mentioning

confidence: 99%

“…The principles for a logical approach to the problem are also equally well known. [3471718] The required strategy was presented to the International Agency for the Prevention of Blindness (IAPB) at their general assembly in Beijing 1999. [19] Regrettably, they have not been pursued or implemented in any systematic manner that can make a tangible difference.…”

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confidence: 99%

Glaucoma in developing countries

Thomas

2012

Indian J Ophthalmol

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Objective:To describe the background and strategy required for the prevention of blindness from glaucoma in developing countries.Materials and Methods:Extrapolation of existing data and experience in eye care delivery and teaching models in an unequally developed country (India) are used to make recommendations.Results:Parameters like population attributable risk percentage indicate that glaucoma is a public health problem but lack of simple diagnostic techniques and therapeutic interventions are barriers to any effective plan. Case detection rather than population-based screening is the recommended strategy for detection. Population awareness of the disease is low and most patients attending eye clinics do not receive a routine comprehensive eye examination that is required to detect glaucoma (and other potentially blinding eye diseases). Such a routine is not taught or practiced by the majority of training institutions either. Angle closure can be detected clinically and relatively simple interventions (including well performed cataract surgery) can prevent blindness from this condition. The strategy for open angle glaucoma should focus on those with established functional loss. Outcomes of this proposed strategy are not yet available.Conclusions:Glaucoma cannot be managed in isolation. The objective should be to detect and manage all potential causes of blindness and prevention of blindness from glaucoma should be integrated into existing programs. The original pyramidal model of eye care delivery incorporates this principle and provides an initial starting point. The routine of comprehensive eye examination in every clinic and its teaching (and use) in residency programs is mandatory for the detection and management of potentially preventable blinding pathology from any cause, including glaucoma. Programs for detection of glaucoma should not be initiated unless adequate facilities for diagnosis and surgical intervention are in place and their monitoring requires reporting of functional outcomes rather than number of operations performed.

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“…2 (Quigley et al 2006) Twelve million Indians are affected by glaucoma accounting for 12.8% of the blindness in the country. 3 (Thomas et al 2003).…”

Section: (World Health Organization Data)mentioning

confidence: 99%

Screening for Glaucoma in Rural Population: A Hospital Based Study

Deo¹,

Dhawan²,

Singh³

2015

jemds

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AIMTo estimate the prevalence of blindness due to glaucoma in patients aged 40 years and above attending Tertiary Care Hospital. MATERIAL AND METHODSThe study was conducted in the Department of Ophthalmology, Mahatma Gandhi Institute of Medical Sciences, Sevagram. Visual acuity, anterior segment examination and anterior chamber depth assessment by slit lamp, digital tension, non-contact tonometry, confrontation field test, fundus examination, direct ophthalmoscopy and fundus imaging was done. Gonioscopy and automated perimetry was done in glaucoma suspects. RESULTS7600 eyes of 3800 patients were examined, 108 eyes were diagnosed to have glaucoma. Based on the best corrected visual acuity, 15(13.8%) eyes and 8(0.22%) persons had visual impairment and 33(30.5%) eyes and 20(31.7%) persons were blind. The prevalence of glaucoma in eyes was 1.42%. The prevalence of blindness due to glaucoma in eyes was 0.43% and person was 0.52%. The prevalence of Primary Open Angle Glaucoma in eyes was 1%, Primary Angle Closure Glaucoma in eyes was 0.15%, Neovascular glaucoma in eyes was 0.07%, Lens Induced Glaucoma in eyes was 0.17% and Pseudoexfoliative Glaucoma in eyes was 0.03%. IOP>20mmHg was present in 50(36.1%) glaucomatous eyes, majority of the eyes being in Open Angle Glaucoma 24(31.5%) eyes; 58(53.7%) glaucomatous eyes had IOP in the range 11-20mmHg, among them 38 eyes were on treatment and 20 eyes were operated. CONCLUSIONBeing an irreversible disease if diagnosed early, blindness can be avoided. So screening is very important for early diagnosis and their proper management thereon.

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Glaucoma in India

Cited by 40 publications

References 19 publications

Surgical outcome of safe surgery system trabeculectomy combined with cataract extraction

Surgical outcome of safe surgery system trabeculectomy combined with cataract extraction

Glaucoma in developing countries

Screening for Glaucoma in Rural Population: A Hospital Based Study

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