TO STUDY THE CAUSES OF SECONDARY GLAUCOMA IN PATIENTS VISITING TERTIARY EYE CARE CENTRE

Introduction: Secondary glaucoma is a group of disorders in which there is a rise in Intraocular pressure due to an existing ocular or systemic disorder.The causes of secondary glaucoma are multiple,and most patients may not present in the early stage of the disease.Presentation in an advanced stage may be with poor vision, redness,pain,high IOP and even glaucomatous optic atrophy.Early identification and treatment of these causes is important to prevent the burden of blindness due to secondary glaucoma.Methods:A total number of 102 patients diagnosed with secondary glaucoma and above 12 years of age,visiting Ophthalmology out-patient department have been taken for the study after obtaining written consent. Detailed history and comprehensive eye examination was done. Results: In this study, 24.50% cases had silicon oil induced glaucoma,9.80% cases had steroid induced glaucoma,31.37% had pseudoexfoliation glaucoma, 1.96% had phacomorphic glaucoma, 2.94% had glaucoma secondary to uveitis, 2.94% had angle recession glaucoma, 0.98% the cause was malignant glaucoma, 13.72% had neovascular glaucoma, 3.92% cases had ICE syndrome, 3.92% cases were post cataract surgery and 3.92% were post keratoplasty surgery. Conclusion: Our study found Pseudo exfoliation glaucoma to be the most common cause of secondary glaucoma, followed by silicon oil induced glaucoma. An early comprehensive examination and treatment of patients having raised IOP with pre-existing ocular comorbidities can help reduce the burden of blindness.