A CROSS SECTIONAL STUDY TO EVALUATE THE PREVALENCE OF OCCLUDABLE ANGLES IN PATIENTS ATTENDING TERTIARY CARE CENTRE IN WESTERN REGION OF UTTAR PRADESH.

Aim: To assess the prevalence of occludable angles and identify key risk factors such as shallow anterior chamber, refractive error, gender, and age in patients attending a tertiary care center in western Uttar Pradesh. The study also aims to advocate for routine screening in high-risk groups to facilitate early detection and management of primary angle-closure glaucoma (PACG). A cross-sectional study was conducted on Materials and Methods: 100 patients aged 40 years and above at the VIMS Ophthalmology Outpatient Department between October 2024 and March 2025. Comprehensive ocular examinations included visual acuity, refraction, anterior chamber depth assessment, intraocular pressure (IOP) measurement, gonioscopy, and fundus evaluation. Occludable angles were dened based on gonioscopic visibility of the posterior trabecular meshwork in <90°. Occludable angles were observed in 18% of p Results: atients. The majority of these cases were females (83%), hypermetropes (61.1%), and individuals aged between 60–80 years (50%). The mean IOP was 16.91 mmHg, with 73% of patients falling within the normal IOP range (10–20 mmHg). Statistically signicant associations were found between occludable angles and female gender (p < 0.01), hypermetropia (p = 0.03), and age over 60 years (p = 0.04). This study emphasizes the importance of routine gonioscopic screening in high-risk Conclusion: groups, especially elderly hypermetropic females, to enable early detection of occludable angles. Integrating such screening in regular ophthalmic check-ups can signicantly reduce the risk of irreversible vision loss due to PACG.