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Year : 2020  |  Volume : 32  |  Issue : 2  |  Page : 154-158

Traumatic glaucoma in 100 consecutive cases of ocular blunt trauma in a tertiary care center

Department of Ophthalmology, JJM Medical College, Davangere, Karnataka, India

Correspondence Address:
Dr. Anitha S Maiya
Department of Ophthalmology, JJM Medical College, Davangere - 577 004, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/kjo.kjo_75_19

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Aim: This clinical study was undertaken to evaluate the profile, mechanisms, and course of traumatic glaucoma (TG) in patients who have sustained blunt ocular trauma. Methods: One hundred consecutive patients who sustained ocular blunt trauma (OBT) during the 1-year were enrolled in the study. All the patients underwent a comprehensive ophthalmic evaluation of the anterior and posterior segments along with relevant investigations. Patients who were found to have an intraocular pressure (IOP) ≥21 mm Hg with or without glaucomatous optic neuropathy were considered to have TG and started on appropriate treatment. Results: Eleven of the 100 consecutive patients who sustained OBT developed TG. The age of patients ranged between 8 and 65 years, 8 were male and 3 female; 6 patients were <18 years of age and hyphema (n = 4) was the most common cause of glaucoma followed by traumatic uveitis (n = 2) and lens injuries (n = 1). The average IOP at presentation was 36 ± 9.6 mm Hg and patients required 1.636 ± 0.8 antiglaucoma medications for IOP control. Three patients underwent surgical intervention for managing the complications of the OBT. Only one of the patients required glaucoma surgery. IOP at the final follow-up was 14.6 ± 2.73 mm Hg. Conclusion: TG tends to occur more commonly in children. Certain markers such as hyphema, lens injuries, and uveitis can predict the possibility of glaucoma. TG if detected early and treated energetically can improve visual outcomes in patients with OBT.

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