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ISSN 2063-5346
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STUDY OF ANTERIOR SEGMENT OPTICAL COHERENCE TOMOGRAPHY FINDINGS IN OPEN ANGLE AND CLOSED ANGLE GLAUCOMA AND ITS ASSOCIATION WITH CLINICAL FEATURES

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Dr. Ram Kumar, Dr. Nupur Srivastava
» doi: 10.31838/ecb/2023.12.s3.544

Abstract

Aim: The aim of the present study was to evaluate the association between different clinical features of primary open angle and close angle glaucoma with above findings using the AS-OCT. Methods: The study was conducted in the Department of Ophthalmology Nehru Chikitsalaya, Baba Raghav Das Medical College, Gorakhpur for the period of 12 Months. 130 Eyes of 65 patients based on previous statistics of patient input. Results: Mean age of the patients was 60.56±9.44 years. Majority 28(43.1%) patients belonged to age group 60- 69 years. Males were more involved in the study (63.07%) than females (36.9%). There was statistically nonsignificant difference between gender distributions. Chi-square test was applied. Majority of chief complaint was defective vision (49.2%) followed by ocular pain (26.1%). IOP shows majority of cases lie in 30-35 followed by 25-29.The least were in >35. Maximum 38(29.2%) eyes had CDR 0.70 followed by 33(25.3%) eyes having CDR ratio 0.60. Myopia was more commonly associated with open angle in AS-OCT (>20 degree). Hypermetropia was more commonly associated with closed angle in AS- OCT (<20 degree). Other types of refractive errors like astigmatism were also found in some eyes but they were statistically insignificant. No significant difference was found between right and left TIA in both eyes in POAG. Conclusion: It can be concluded that ASOCT being a novel investigation can be used additionally in diagnosis and management of Glaucoma along with the Gold Standard Technique Gonioscopy. All Glaucoma patients should be assessed and followed up properly for IOP, CDR and Visual Field Analysis at regular intervals according to the degree and severity of Glaucoma.

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