ABSTRACT
Pseudoexfoliation (PXF) syndrome is very common in Kashmir Valley. Eyes with pseudoexfoliation have a higher incidence of both cataract and glaucoma. Eyes with pseudoexfoliation respond poorly to medical treatment hence the need for early surgical intervention. AIM: To evaluate the effectiveness of small incision cataract surgery (SICS) with trabeculectomy versus phacotrabeculectomy in patients with psuedoexfoliative glaucoma with coexistent cataract. Methods: Present retrospective study was done in the post graduate department of ophthalmology Sher-i-Kashmir institute of medical sciences (SKIMS) and hospital Bemina. A total of 50 eyes with pseudoexfoliative glaucoma were divided in to two groups, 25 underwent small incision cataract surgery with trabeculectomy and 25 had phacotrabeculectomy done by the same surgeon. Intra and postoperative complications were compared between the two groups, moreover best corrected visual acuity (BCVA) and intra ocular pressures (IOP) were compared at 8 weeks and 6 months. Results: In our study we found that there was a significant improvement in best corrected visual acuity as well as getting the desired IOP levels in both groups of patients. However the difference between the two groups in terms of intra and post-operative complications, BCVA and IOP was found to be statistically insignificant. Conclusion: Our study concludes that both SICS with trabeculectomy and phacotrabeculectomy are equally effective in management of patients with PXF associated with cataract and glaucoma.
ABSTRACT
A prospective study undertaken to study the profile the various sub types of glaucoma in the Kashmir Valley to document the prevlance and clinical manifestations of the various type of glaucomas was conducted in the glaucoma clinic of the Post Graduate Department of Ophthalmology, Govt. Medical College ,Srinagar, Kashmir. 200 patients (400 eyes) were included. All patients underwent a comprehensive and exhaustive Glaucoma work up to diagnose classify and treatment modalities were suggested. Pseudoexfoliation glaucoma was the largest group of glaucoma patients in the study (40.25%). 29% had POAG.;7.25% had angle closure glaucoma. This is in contrast to most studies in India where this group forms the largest group of all Glaucomas. Male female ratio was 7:3. Females were more affected by angle closure glaucoma. 60% patients had various degrees of glaucomatous optic atrophy on presentation.Early detection, proper training of medical professionals to do a basic IOP examination and fundus examination, awareness about glaucoma is need of hour.