Top-ten Glaucoma Society of India meeting
Chandhigarh, India, October 31-November 2, 2008
Lingam Vijaya
In a comparison of HRT II and HRT III using the same cohort, HRT
MRA global was better than HRT III MRA and GPS in diagnosing glaucoma
(Sirisha S. Senthil, Hyderabad, India).
A comparison of the diagnostic performance of the GPS with that
of MRA was performed using the HRT III in 100 eyes of normals and 54
subjects with early and moderate glaucoma. The GPS was found to have
higher sensitivity, but poor specificity compared to the MRA. The discriminating
ability of the MRA was better than that of the GPS ( Shveta Jindal,
New Delhi, India).
A cost analysis was performed for 3 types/brands of topical medications
marketed in India. IOP reduction by each class of drug, dosage and average
number of drops per bottle and the maximum retail price per bottle was
used to calculate annual cost for bilateral use of medications. Timolol
Maleate used twice daily was found to be the most cost effective medication
to lower IOP (Murali Arriga, Chennai, India).
Comparisons of RNFL measurements using the time-domain OCT and spectral domain OCT were made on normal, glaucomatous eyes as well as glaucoma suspects. Measurements of the RNFL
using the 2 instruments were highly correlated but showed poor
agreement. The instruments cannot be used interchangeably at the
present time (Sushmita Kaushik, Chandigarh, India).
The UBM is useful in predicting the outcome of needle revision of failed trabeulectomy blebs. Needling in patients with presence of fluid under the scleral flap
( scleral route patent) was effective in comparison with those in occluded scleral routes
(Anamika Tiwari, Chadhigarh, India).
A long term comparison was performed on progressive glaucomatous damage in patients with POAG and PACG followed up with the HRT II and Humphrey visual fields over a period of 5 years. PACG eyes progressed faster and to a greater extent than POAG eyes. Eyes that progressed in both groups is all stages of severity had intermittent fluctuations of IOP
of ≥4mmHG (Ramanjit Sihota, New Delhi
Country, India).
A prospective long term evaluation of sub-acute angle closure glaucoma using standard achromatic perimetry revealed that eyes with sub-acute angle closure having a narrow angle recess, thinner corneas and larger diurnal fluctuation of IOP at baseline are more likely to show progressive damage
(Ramanjit Sihota, New Delhi, India).
A comparison of single site small incision cataract surgery with trabeculectomy and 2 site clear corneal phacoemulsification with trabeculectomy showed that while both techniques are effective in decreasing IOP at a mean follow up of 10-11 months, the IOP
reduction was better in 2 site surgery while astigmatism was less in
the single site small incision surgery (Sanjoy Kumar, Guwahati, India).
UBM parameters were studied in normals and in POAG and in different subsets of angle closure disease. Eyes with a narrow angle recess had significantly narrower scleral -ciliary process angle, thinner ciliary body and higher iris root -ciliary body thickness ratio
(Aparna Rao, New Delhi, India).
The outcome of free conjunctival patch grafts for the treatment of leaking blebs and chronic hypotony in 61 eyes of 60 patients was reported. All eyes had a successful closure of the leak; one had persistent hypotony and 5 developed elevated IOP despite glaucoma medications. Free conjunctival patch grafts was found to be an effective method to treat bleb leaks in a majority of the patients
(Manish Panday, Chennaim, India).