To determine the clinical outcomes and causes of late presentation in lens induced glaucoma (LIG).
Prospective observational study.
One hundred and sixty-five patients with LIG who underwent cataract surgery.
Pre-operative data collection included a questionnaire about reasons for late presentation, socioeconomic status, visual acuity, intraocular pressure (IOP), and the lens/angle status of the fellow eye. All patients underwent manual small Incision cataract surgery (MSICS). Postoperative vision, IOP, anterior segment and fundus were evaluated at day 1, 15, 30.
Reasons for late presentation, status of the fellow eyes, surgical outcomes including visual acuity and intraocular pressure at 1 month post-operative visit.
Mean age of presentation was 63.8 years with female: male ratio of 1.4:1. 70.3% were phacolytic and 29.7% phacomorphic glaucoma. Main cause for late presentation was non-financial (81.2%), of which good vision in fellow eye and lack of escort to the hospital were the major reasons. Majority of fellow eyes were pseudophakic (72.1%). After surgery, 75.6% gained best corrected visual acuity ≥6/18. 6% had poor visual recovery (≤ 6/60) with optic atrophy as the major cause. Only 7.9% required further glaucoma management in the form of topical medications. Delayed presentation (>15 days) was associated with poor visual outcome.
Non-financial causes including good vision in the fellow eye and lack of escort, were the major determinants of late presentation. Majority of the patients were pseudophakic in the fellow eye. After cataract extraction, only few LIG patients required further glaucoma management.