Dr. RITESH VERMA

Dr. MANISHA RATHI, DR. DIXIT SONI, Prof.Dr. SUMIT SACHDEVA, Dr.RACHANA GAHLAWAT

Abstract

A 67 year old lady presented with pain, redness and loss of vision in the right eye of 30 days duration. She had gone to an ophthalmologist who gave her medicines and sent her home, without explaining anything. She was unaware of the gravity of her ocular condition and stopped taking medicines after a few days. On presentation to us, the IOP was 68 mmHg, the pupil was fixed and dilated, the vision was PL negative. There was an intumescent cataract. She said that at the start of the pain and redness, she could see her hand close to her face. Whenever a patient presents with a lens induced glaucoma, it is the duty of the ophthalmologist to explain the risk, and operate on or refer the patient immediately. We get some of these cases with PL absent, in which prompt management after counselling could have restored vision in the eye. An outreach program for screening of cataract in rural areas is also desirable for preventing lens induced glaucoma, which is potentially sight threatening.