Prospective study of hypermature cataract in Kanchipuram district: Causes of delayed presentation, risk of lens-induced glaucoma and visual prognosis

Hegde, Shruti Prabhat; Sekharreddy, Machireddy R; Kumar, Mohan; Kautilya, Vijay

doi:10.4103/kjo.kjo_50_18

Cited by 9 publications

(30 citation statements)

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“…11 This was most often encountered in patients with complicated cataracts and those with pseudoexfoliation. 25 Intraoperative exposure to the operating microscope light for prolonged time periods was studied and discussed as an important contributory factor for postoperative dry eyes. 26 This was most often encountered in surgeries by novice manual small-incision surgeons who generally took a long time to complete the surgery.…”

Section: Discussionmentioning

confidence: 99%

An Insight into the Role of Various Factors Involved in the Pathogenesis of Dry Eyes after Manual Small-incision Cataract Surgery: A Mini Review

Patil¹,

Sugantharaj²,

Hegde³

2019

Annals of SBV

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Background: A significant proportion of the patients develop symptoms of dry eyes following manual small-incision cataract surgery (MSICS). The pathogenesis of this complication remains unclear. Various studies have been done to study this and multiple mechanisms have been proposed. The idea of this review is to give a comprehensive insight to the factors involved in the pathogenesis of dry eyes after MSICS. An extensive electronic literature search was done using search engines such as PubMed and Google Scholar using the mesh terms/key words "Pathogenesis, postoperative dry eyes, manual small incision cataract surgery". A total of 26 studies were included in the review. The various etiological factors were discussed in detail. The most common factors were noted. Conclusion:There are myriad factors involved in the occurrence of postoperative dry eye of which transection of corneal nerves during surgery and the use of postoperative topical medication with preservatives rank as the two most important causes.

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Section: Discussionmentioning

confidence: 99%

An Insight into the Role of Various Factors Involved in the Pathogenesis of Dry Eyes after Manual Small-incision Cataract Surgery: A Mini Review

Patil¹,

Sugantharaj²,

Hegde³

2019

Annals of SBV

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“…[1][2][3][4] Incidence of LIG in cataract population is 1.5% 4 and upto 1% in patients with mature/hyper mature cataract. 5 Two common inflammation and raised intraocular pressure. 1 The attributed causes for increase in number of cases presenting with mature/hypermature cataract are better vision in the other eye, pshycological acceptance of poor vision, poor eye health awareness, Systemic illness, lack of family support, socioeconomically poor conditions and more than one reasons of these.…”

Section: Introductionmentioning

confidence: 99%

“…1 The attributed causes for increase in number of cases presenting with mature/hypermature cataract are better vision in the other eye, pshycological acceptance of poor vision, poor eye health awareness, Systemic illness, lack of family support, socioeconomically poor conditions and more than one reasons of these. 4,5 Commonly accepted findings in PLLIG are congested eye, corneal oedema, deep AC with moderate to severe flare and cells (with or without pseudohypopyon), floating lens fibers, hypermature cataract (with or with out Morgagnian) and raised intraocular pressure (IOP) in addition to symptoms of pain with history of prolonged poor vision. 3,5,7 Recommended management protocol of PLLIG are initially with medical therapy by topical beta blockers, alpha agonist, carbonic anhydrase inhibitors and intravenous (IV) mannitol to control IOP (Intra Ocular Pressure).Topical steroid to control the inflammation, cycloplegic to stabilize blood aqueous barrier and reduce pain.…”

Section: Introductionmentioning

confidence: 99%

“…Definitive treatment is by planned extra capsular cataract extraction (ECCE). 2,5,7,8 One predictive factor which may alter the post operative final visual outcome, intra operative and post operative complications of phacolytic glaucoma is time interval between the onset of glaucoma and surgical intervention. One group of study found favorable out come when the intervention was within 1-2 weeks.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of visual outcome and complications following early and delayed cataract surgery in phacolytic glaucoma

Naik¹,

Prasad²

2020

IJOOO

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To compare the Visual outcome, intraoperative and post operative complications following early and delayed Cataract surgery in Phacolytic glaucoma. Materials and Methods: A Prospective and interventional study in a district hospital. Confirmed cases of phacolytic glaucoma after medical control grouped into group A and group B. Group A patients under went small incision cataract surgery (SICS) within 7 days (early) and group B patients after 7 days(delayed). They were compared for complications and post operative distant corrected visual acuity (DCVA) at the end of 8 weeks. Results:There were 38 eyes from 38 patients. The demographic factors and clinical findings are comparable between two group. Cumulative intraoperative complications like difficulty in doing continuous curvilinear capsulorhexis (CCC), Zonular dialysis and posterior capsule (PC) tear with vitreous disturbance were more in group B 55.6%(10/18) compare to group A 35.0% (7/20). Postoperative DCVA of 6/12 or more was comparable between two group A and B 60.0% (12/20) and 55.6 % (10/18) respectively. Post operative persistent corneal edema in 5.0% (1/20) in group A, 5.5% (1/18) persistent uveitis and 5.5% (1/18) optic nerve damage in group B observed. Conclusion: Early surgical intervention is to be preferred choice in all cases of phacolytic glaucoma. However in patients with genuine personal, family and socio economical reasons delayed surgery will not alter final visual outcome. Adequate preoperative preparation are to be taken to reduce and handle intra operative complication.

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“…For example, received intraocular lenses implant did not have a significant visual recovery as the disease diagnosis was too late and also created a higher cost. 8 Early cost of Glaucoma treatment in 5 years studies from Mexico have examined the socio-economic aspects of glaucoma patients and state that lowmiddle income patients would be suffered from the cost of Glaucoma treatment rather than highincome patients. 7 This study aims to analyze factors on the total cost of care of glaucoma patients at Cicendo Eye Hospital, Bandung, Indonesia, as Cicendo Eye Hospital is the leading national eye specialization treatment in Indonesia since 2009.…”

Section: Introductionmentioning

confidence: 99%

The Determinants of Healthcare Cost for Glaucoma Patients in Cicendo Eye Hospital, Bandung, Indonesia

Rizki

Sihaloho

2020

MKMI

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Glaucoma is the second foremost cause of impaired vision. People whosuffered from Glaucoma face the independent expenditure for thetreatment as blind people with Glaucoma could not be cured perfectly.This study intends to analyze the effect of age, types of patient care, typesof Glaucoma, and types of payment on the total cost of care of glaucomapatients at Cicendo Eye Hospital, Bandung, Indonesia. This study uses3,358 patient medical records of Cicendo Eye Hospital, Bandung,Indonesia, in 2018. The 3,358 samples were selected from the patient’smedical record based on patients’ categories indicated or convicted ofhaving Glaucoma. Robust Linear Regression is applied in this study tomeasure the additional cost for Glaucoma treatment. The results showedthat the total cost of patient care was positively and significantly affectedby hospitalization status (p=0.000), age (p=0.000), times of treatment(p=0.000), having primary glaucoma (p=0.000), having congenitalglaucoma (p=0.000), and presence of intraocular (p=0.000). Conversely,patient care’s total cost was negatively and significantly affected usinginsurance (p=0.082). This result would be a precautionary measure forthe medical institution to consider better financial planning, servicedelivery improvement, and the patient’s payment scheme effectiveness.

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Prospective study of hypermature cataract in Kanchipuram district: Causes of delayed presentation, risk of lens-induced glaucoma and visual prognosis

Cited by 9 publications

References 0 publications

An Insight into the Role of Various Factors Involved in the Pathogenesis of Dry Eyes after Manual Small-incision Cataract Surgery: A Mini Review

An Insight into the Role of Various Factors Involved in the Pathogenesis of Dry Eyes after Manual Small-incision Cataract Surgery: A Mini Review

Comparison of visual outcome and complications following early and delayed cataract surgery in phacolytic glaucoma

The Determinants of Healthcare Cost for Glaucoma Patients in Cicendo Eye Hospital, Bandung, Indonesia

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