ANALYTICAL STUDY OF PSEUDOEXFOLIATION SYNDROME, ITS ASSOCIATION WITH GLAUCOMA AND ITS SURGICAL COMPLICATIONS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 43
Abstract
BACKGROUND Pseudoexfoliation syndrome is commonly associated with Glaucoma. Surgical complications occur frequently in this clinical setting, the incidence of which needs to be analysed. MATERIALS AND METHODS 100 patients with Pseudoexfoliation syndrome attending Glaucoma services of a tertiary care hospital over a period of two years starting from November 2012 were included in the study. All were subjected to detailed Anterior Segment examination, Fundus examination and Glaucoma workup. Surgical complications were analysed in patients undergoing Cataract and combined surgery and followed up periodically. RESULTS 74% patients had bilateral and 24% had unilateral Pseudoexfoliation. 48% patients had Glaucoma, most common being Open Angle Glaucoma (32 cases). Poor pupillary dilatation was noted in 58%. Cataract surgery was required for 50 eyes in which following complications were noted: 16% corneal Endothelial Touch, 16% Posterior Capsular Rent and Vitreous Loss and 14% Zonular Dehiscence. PCIOL was placed in 43 (86%) eyes after sufficient surgical modifications. 58% had visual acuity in the range between 6/60 - 6/18. In 18 eyes which underwent combined surgery, 6 eyes developed Corneal Endothelial Touch, 2 had Posterior Capsular Rent and 3 had Zonular Dialysis. PCIOL was implanted in 16 eyes. Post-op vision was <6/60 in 38.8% eyes. 72% eyes had IOP <20 mmHg after surgery. CONCLUSION Pseudoexfoliation is more common in males and usually bilateral. It is associated with Open Angle Glaucoma. Surgical complications occur more in cases with poor dilatation. Necessary surgical modifications will give good visual outcome. Combined surgery is a good option in Pseudoexfoliation with Glaucoma.
Authors and Affiliations
Gokila M. S, Saravanan R, Maheswari P. S, Chitra M. R
Keywords
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- EP ID EP219922
- DOI 10.18410/jebmh/2017/518
- Views 83
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