A Clinical Study of Complications and Visual Outcome of Cataract Surgery in Patients with Pseudoexfoliation
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Background :Pseudoexfoliation is an age related microfibrillopathy that targets ocular tissue through gradual depositon of fibrillary residue from lens & iris pigment epithelium mainly on lens,ciliary body,zonules,corneal endothelium & iris. It has only been recently recognized to be the overall most common identifiable cause of glaucoma.Aim :To assess the demographic features intraoperative, postoperative complications & visual outcome of cataract surgery following primary IOL implantation in patients with cataract &pseudoexfoliation.Methods :62 eyes of 62 patients with cataract &pseudoexfoliation are posted for primary IOL implantation.Results :Majority of patients were in the age group of >70 yrs. Among 62 cases 39 were males and 23 were females. Among 62 eyes 23 were unilateral & 39 were bilateral. Intraoperative compliacations include zonular dehiscence,difficulty in anterior capsulotomy,posterior capsular rent and vitreous loss .Postoperative complications include corneal edema,AC reaction,raised IOP,decentration of IOL, retained lens matter and PCO.Final BCVA after 3months followup was >6/18 in 43 cases,6/18 to 3/60 in 14 cases &<3/60 in 5 cases. Conclusion:There was male preponderance predominantly involving age group >70 yrs. Intraoperative compliacations are zonular dialysis,difficulty in anterior capsulotomy, PCR & vitreous loss.Postoperative complications are AC reaction,retained lens matter,decentration of IOL was comparable with other studies PCO and persistent corneal edema are common postoperative complications responsible for poor visual outcome in this study.
Authors and Affiliations
Dr. B. Ramalakshmi, Dr. G. Ramachandraiah, Dr. Swathi Padma
Keywords
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- EP ID EP369614
- DOI 10.9790/0853-1703095458.
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