A clinical profile of raised intraocular pressure in closed globe injury and its management

Abstract

We studied the clinical profile of patients with raised intraocular pressure (IOP) in closed globe injury and outcome of medical and surgical management.: A prospective, interventional study of 32 patients diagnosed with raised IOP following closed globe injury, who presented to a tertiary care centre during the period of November 2018 to May 2020. Most patients (59%) were young, age group of < 40 years. 71.9% were males. Left eye was involved in 53.1%. Mean duration of presentation after injury was 4.38 days. Most common mode of injury was industrial accidents (28%). Mean IOP at presentation was 29.19 ±7.342. Vision at presentation was ≤ 6/60 in 18.75%. Anterior segment injury was most common. On gonioscopy, 13 eyes (41%) had open angles, 1 eye (3.1%) had closed angle and deferred in rest. Angle recession was present in 2 eyes. 3% of eyes had increased cup-disc ration (CDR) > 0.7. 68.75% were managed medically and 31.2% surgically. In the medical group, mean initial IOP was 26.18±5.124 mm Hg and at 12 months was 14.83 ± 2.287 mm Hg (p <0.0001). A 44% reduction of IOP seen. The initial and final IOP in surgical group was 35.80±7.330 and18.60 ±3.777 respectively with a (p < 0.0001). A reduction of 48% IOP was seen at the end of 12 months in surgical group. There was no significant difference between medical and surgical intervention. There was no significant difference between medical and surgical intervention while treating glaucoma secondary to closed globe injury.