Prajna N V, Ramakrishnan R, Krishnadas R, Manoharan N
Aravind Eye Hospital, Madurai.
Indian J Ophthalmol. 1996 Sep;44(3):149-55.
Lens induced glaucomas are a common occurrence in India. An attempt was made to understand the clinical modes of presentation and post operative visual results in 93 patients with lens induced glaucoma, 49 phacomorphic and 44 phacolytic, attending our institute during 1994. All these patients were subjected to a planned extracapsular cataract extraction. Forty four percent had a posterior chamber intraocular lens implantation following surgery. Fifty seven percent eyes with phacomorphic glaucoma and 61% with phacolytic glaucoma recovered visual acuity of 6/12 or better. There was no significant difference in the final visual acuity between those patients who had an intraocular lens implanted and those who did not (P = 0.18). Univariate analysis was performed for selected risk factors such as age, sex and duration of glaucomatous process as predictors of final visual acuity and odds ratios with 95% confidence intervals were calculated. Patients with age more than 60 years (OR = 2.7, 95% CI = 1.04-6.93) and in whom the glaucoma was present for more than 5 days (OR = 3.1, 95% CI = 1.21-8.13) had a significantly higher risk of poor visual outcome post-operatively.
晶状体诱导性青光眼在印度很常见。1994年期间，我们对93例晶状体诱导性青光眼患者（49例晶状体膨胀性青光眼和44例晶状体溶解性青光眼）的临床呈现模式和术后视力结果进行了研究。所有这些患者均接受了计划性囊外白内障摘除术。44%的患者术后植入了后房型人工晶状体。57%的晶状体膨胀性青光眼患者和61%的晶状体溶解性青光眼患者视力恢复到6/12或更好。植入人工晶状体的患者与未植入人工晶状体的患者最终视力无显著差异（P = 0.18）。对年龄、性别和青光眼病程等选定的风险因素进行单因素分析，将其作为最终视力的预测指标，并计算95%置信区间的比值比。年龄超过60岁的患者（OR = 2.7，95% CI = 1.04 - 6.93）以及青光眼病程超过5天的患者（OR = 3.1，95% CI = 1.21 - 8.13）术后视力不良的风险显著更高。
