Volume : 7, Issue : 2, February - 2018

INCIDENCE OF PRIMARY OPEN ANGLE GLAUCOMA vs PRIMARY ANGLE CLOSURE GLAUCOMA AT TERTIARY HEALTH CARE CENTRES

Dr. Neeharika Shah, Dr. Payal Shah

Abstract :

<p>&nbsp;</p> <p class="MsoNormal"><b style="mso-bidi-font-weight:normal"><span style="font-size:14.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">PURPOSE</span></b><span style="font-size:14.0pt;mso-bidi-font-size:24.0pt;line-height:115%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p></o:p></span></p> <p class="MsoNormal"><span style="font-size:14.0pt;line-height:115%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">To compare incidence of POAG and PACG at their 1^st time presentation in OPD at M &amp; J Western Regional Institute Of Ophthalmology<o:p></o:p></span></p> <p class="MsoNormal"><b style="mso-bidi-font-weight:normal"><span style="font-size:14.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p>&nbsp;</o:p></span></b></p> <p class="MsoNormal"><b style="mso-bidi-font-weight:normal"><span style="font-size:14.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">MATERIALS AND METHOD<o:p></o:p></span></b></p> <p class="MsoNormal"><span style="font-size:14.0pt;line-height:115%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">This comparative study was conducted<span style="mso-spacerun:yes">&nbsp; </span>between August 2016 to August 2017 on all the patient between 20-60 years age; diagnosed for the 1^st time with glaucoma. Detailed history with complete ophthalmological examination including TLE, SLE, Fundus examination, IOP measurement, OCT, Perimetry, Undilated Gonioscopy was done.<o:p></o:p></span></p> <p class="MsoNormal"><b style="mso-bidi-font-weight:normal"><span style="font-size:14.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p>&nbsp;</o:p></span></b></p> <p class="MsoNormal"><b style="mso-bidi-font-weight:normal"><span style="font-size:14.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">RESULTS<o:p></o:p></span></b></p> <p class="MsoNormal"><span style="font-size:14.0pt;line-height:115%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">342(50.29%)<span style="mso-spacerun:yes">&nbsp; </span>males and 338(49.71%) <span style="mso-spacerun:yes">&nbsp;</span>females. Of<span style="mso-spacerun:yes">&nbsp; </span>these 139(25.69%)<span style="mso-spacerun:yes">&nbsp; </span>presented as<span style="mso-spacerun:yes">&nbsp; </span>PACG with 99(71.22%)<span style="mso-spacerun:yes">&nbsp; </span>requiring urgent PI and 39(28.05%)<span style="mso-spacerun:yes">&nbsp; </span>of<span style="mso-spacerun:yes">&nbsp; </span>them have severe glaucomatous changes with average IOP 38.3mmHg,<span style="mso-spacerun:yes">&nbsp; </span>and 541(74.31%) as<span style="mso-spacerun:yes">&nbsp; </span>POAG with no urgent intervention and<span style="mso-spacerun:yes">&nbsp; </span>73(13.49%)<span style="mso-spacerun:yes">&nbsp; </span>had severe glaucomatous changes with average IOP 37.5mmHg.<o:p></o:p></span></p> <p class="MsoNormal"><span style="font-size:14.0pt;line-height:115%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p>&nbsp;</o:p></span></p> <p class="MsoNormal"><span style="font-size:14.0pt;line-height:115%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p>&nbsp;</o:p></span></p> <p class="MsoNormal"><b style="mso-bidi-font-weight:normal"><span style="font-size:14.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">CONCLUSION<o:p></o:p></span></b></p> <p class="MsoNormal"><span style="font-size:14.0pt;line-height:115%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">Incidence of POAG is more than<span style="mso-spacerun:yes">&nbsp; </span>PACG , with PACG presented with more severity<b style="mso-bidi-font-weight:normal"><o:p></o:p></b></span></p>