Page 123 - The Indian Optician Digital Edition September-October 2021
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DISCUSSION
In this study of 60 eyes, 2%
presented with Pupillary Block
Glaucoma; 2% with Neovascular
Glaucoma; 5% with AACG; 5%
with SACG; 8% with PACS; 38%
with CACG; and most of the eyes
were 40% with PACG.
The effectivity of YAG PI is
high in all types of angle-closure
glaucoma patients, specifically
in patients with PACG and CACG.
There was also a significant
iii. Patient with all types of open-angle difference in patients using AGM medicines
glaucoma between pre-procedure and post-procedure
of LPI.
iv. Patient with other ocular diseases
There was a significant difference in mean
Results: 60 eyes were used out of which 50% IOP, before and after LPI in different types of
were male and 50% were female. Out of 30 eyes, glaucoma patients.
2% presented with Pupillary Blocked Glaucoma;
2% with Neovascular Glaucoma; 5% with AACG; Out of 60 eyes, 10% of the eyes were found
5% with SACG; 8% with PACS; 38% with CACG; to be (Grade 0) closed-angle, 77% eyes had
and 40% of the eyes were with PACG. 50% were (Grade 1) angle, 13% eyes had (Grade 2)
found to be male and 50% were found to be angle which after laser peripheral iridotomy
female in the study, 14% were found to be in the opened up to (Grade 2) -10% eyes, (Grade 3)
age group of 20-40 years, 68% belonged to 41-60 -78% eyes and (Grade 4) - 12% eyes.
years age group and 18% belonged to 61-80 CONCLUSION
years age group.
Laser Iridotomy is an established and
There was no significant difference found in approved clinical treatment for PACG as it
terms of visual acuity after the Laser Peripheral effectively reduces the IOP of patients, improves
Iridotomy. Only patients of CACG showed vision the visual acuity level, opens the anterior
improvement post-procedure. In 60 patients, the chamber angle, and facilitates the aqueous
baseline IOP of 60 eyes was 28.58mm of hg, and outflow thereby reducing the need for topical
the mean target IOP was 20.41 mm of hg. which anti-glaucoma medications. Nd: YAG laser
was controlled after performing LPI and turned iridotomy must be practised as the first line of
to mean post-IOP 18.93mm of hg. Paired-t treatment. It is also compliance free
-test was performed for comparison for anti- and cost-effective.
glaucomatous medicines before and after LPI
and showed a significant difference (p= 0.00). ACKNOWLEDGEMENT
In the Gonioscopy examination, Group A This article has been written under the
with 6 eyes had a grade 0 angle which after LPI guidance of Dr. Jigisha Randeri, Thesis Guide,
turned 4 eyes of grade 3 and 2 eyes of grade 4 Rotary Eye Institute. Navsari and Optom
angle; Group B with 46 eyes had grade 1 angle Nirav Mehta, Principal Hari Jyot College of
which after LPI turned 6 eyes of grade 2; 35 eyes Optometry, Navsari.
of grade 3 and 5 eyes of grade 4; Group C with
8 eyes had grade 2 eyes which after performing (References can be provided on request.
LPI turned 8 eyes of grade 3 on Shaffer’s grading. Write to infotiodel@gmail.com)
119 | CASE STUDY
