Visual Outcomes Following Cataract Surgery in Patients with Lens-induced Glaucoma: A Clinical Study from Sudan

Abstract

Background: Lens-induced glaucoma (LIG) is a prevalent issue concerning eye health in Sudan. This study sought to evaluate the visual outcomes of lens-induced glaucoma in Western Sudan. Methodology: This retrospective study was conducted at Makkah Eye Complex in North Kordofan State, Sudan, from August 2021 to August 2022. The study analyzed 50 patients who presented at the clinic with complaints of blurred vision, pain, and headache, ensuring comprehensive coverage during the designated period. Results: This study examined 50 patients with LIG, postoperative visual acuity in day (1) 6/24_6/60 was (52%) 6/6_6/24 (8%) 6/36_6/60 (8%) light perception (4%) and hand motion were (28%). About postoperative visual acuity in day (7) 6/6_ 6/24 was (12%) 6/24_6/60 (52%) light perception (4%) count finger (32%) no light perception (0) Postoperative visual acuity after (1) month 6/6_6/24 (20%), 6/24_6/60 (60%) light perception (4%) and count fingers (16%) About optic disc status: optic atrophy (72%), normal disc (12%). Conclusion: LIG is notably prevalent among the elderly rural Sudanese population. Good visual acuity can be achieved in lens-induced glaucoma presenting within 2 weeks, with intraocular pressure of <35 mm Hg and with meticulous control of intraocular pressure and inflammation with medications. This highlighting the need for awareness and health education.