Clinical Profile, Intraoperative Challenges During Cataract Surgery in Patients with Pseudoexfoliation and Visual Outcome at Rural Set up
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 1
Abstract
Introduction: Pseudoexfoliation (PXF) is an ocular manifestation of systemic degenerative disorder. Many recent studies have shown that patients with PXF have higher rate of complications during cataract surgeries compared to patients without this disorder. Material and method: In this hospital based, observational, descriptive study, we studied the clinical profile and intraoperative difficulties in 50 patients of senile cataract with PXF undergoing cataract surgery at the rural hospital for two years (September 2013- August 2015). Results: Out of 50 study patients mean age was 67.4 ± 7.52 years. 25 (50%) were males. 31 (62%) patients had clinical bilateral involvement of PXF. 14 (28 %) patients had PXF material deposited on only pupillary margin. 26 (52%) had nuclear cataract. 31 (62 %) patients had insufficient intraoperative mydriasis for which intraoperative mechanical stretching worked well in 25 (50 %) patients while 6 (12%) patients needed additional sphincterotomy. 5 patients (10%) developed posterior capsule rupture (PCR) out of which 2 (4%) had vitreous loss with iridodialysis. 1 patient (2%) had ACIOL while 1 was kept aphakic. Conclusion: Careful preoperative evaluation with slit lamp is mandatory in patients undergoing cataract surgery having PXF, to avoid the intraoperative complications. Surgical modifications for pupil enlargement reduce the intraoperative complications.
Authors and Affiliations
Shubhangi Nigwekar, Prashant Nigwekar, Prajakta Kharche, Akshay Beedkar
Keywords
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