Dr.MADHUSMITA DAS
AIM- Social factors responsible for late presentation in glaucoma focussing on which blindness can be prevented.
METHOD-In a study of 42 advanced glaucoma cases who attended a RIO between Sept 2016-Mar 2017,history & ocular exam done.
RESULTS-Out of 42, 81% were POAG,12% chr ACG,7%PXF glaucoma cases, M:F=0.6:1, 28% cases had advanced glaucoma on 1st visit, 42%known cases not follow up for >4 yr & stopped t/t since unaware of disease severity In 20 %cases comprehensive ocular exam not done .68%-low economy class, 72% from remote areas,64% below primary schooling.16% stopped glaucoma t/t after improved vision with cataract surgery.
CONCLUSION- Silent nature of POAG, negligence towards female, low income, poor transport, poor compliance, less follow up & unawareness of glaucoma severity are responsible for late presentation, leading to blindness, which could be prevented with regular, comprehensive eye checkup, health education at subcenter level & creating awareness by mass media.
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