Pseudoexfoliation Syndrome (PEX): Incidence of Glaucoma, Cataract and Related Surgical Complications
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 3
Abstract
Introduction: Pseudoexfoliation syndrome [PEX] is a relatively common but easily overlooked cause of chronic open angle glaucoma. Cataract extraction in the setting of PEX requires careful surgical evaluation and communication with the patient regarding increased surgical risks. Anticipating and managing the intra-operative surgical risks and possible postoperative issues associated with PEX pathology increases successful outcomes. Material and Methods: The present study was done at tertiary care hospital in Western India over a period of 2 and half years. It was a prospective study which included 67 eyes of 48 patients with PEX, analysing complications and surgical outcomes in patients with PEX undergoing cataract surgery. Results: Nuclear sclerosis grades 1 to 4 were present in 73.96% eyes of patients with PEX while 23.96% eyes had mature or hypermature cataracts. Intra-operative complications noted in this study included intra-operative floppy iris (IFI) (31.34%), posterior capsule tear (PCT) with vitreous loss was noted in 5 eyes (7.46%), zonular dialysis (ZD) was noted in 4 eyes (5.97%), out of vitreous loss occurred in 2 eyes, thus overall 7 eyes had vitreous loss (10.45%). Major late post-operative complications included raised IOP (5/67 eyes-7.46%), IOL decentration (5/67 eyes-7.46%) and posterior capsule opacity (PCO) which was seen in 28 eyes within 1 year follow-up (41.79%). Conclusion: Our study highlights the importance of regular IOP monitoring and keeping a vigil for the signs of PEX in the elderly. Further larger and extensive studies need to be carried out for statistical analysis of PEX related manifestation and surgical outcomes.
Authors and Affiliations
Navin Soni, Avinash Ingole, Faraaz Hussain, Swapnil Rathod, Aditi Agarwal
Keywords
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