A STUDY OF PERIOPERATIVE SURGICAL COMPLICATIONS IN EYES WITH PSEUDOEXFOLIATION UNDERGOING CATARACT SURGERY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 11
Abstract
BACKGROUND Pseudoexfoliation Syndrome (PES) is an age-related systemic microfibrillopathy, caused by progressive accumulation and gradual deposition of extracellular grey and white material over various tissues including eyes. Pseudoexfoliation (PXE) is a systemic condition which affects eyes in advanced ages in which period, cataract is also common. PXE poses various problems during cataract surgery like poor pupillary dilatation and zonular instability. We wanted to analyse perioperative complications in cataract surgery in presence of PXE. MATERIALS AND METHODS It was a prospective observational study conducted in a tertiary hospital from December 2016 to May 2018. 124 patients having cataract and PEX and who were above 50 years of age were included in the study. Cataract surgery was performed, and perioperative complications documented and statistically analysed. RESULTS Poor pupillary dilatation which occurred in 47.58% was the most common cause of surgical difficulty. Pupillotomy and other pupillary dilation devices were used. Other complications noted were subluxation of lens, rupture of posterior capsule, vitreous loss, retained lens matter, and dehiscence of zonules. CONCLUSIONS When cataract presents with PXE, there is an increased risk of surgical complications, the main being rigid pupil. Recognition of PXE preoperatively with proper examination and its management during surgery with various techniques and devices is essential to give a good vision to the patient.
Authors and Affiliations
Vijay Kumar Srivastava, Ramya Ravishankar Nadig, Kunal Verma
Keywords
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- EP ID EP555612
- DOI 10.14260/jemds/2019/180
- Views 96
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