Evaluation of IOP >21 mm Hg in Patients with Pseudoexfoliation in Hilly Terrains of North India
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 8
Abstract
Introduction: Pseudoexfoliation (PEX) is characterized by the deposition of dandruff like fibrillary material in the anterior segment mainly pupillary margins, angles of anterior chamber, anterior lens capsule. PEX is frequently associated with open angle glaucoma, the cause of which mainly is the obstruction of trabecular meshwork by this extracellular dandruff like material. The characteristic appearance of pseudoexfoliation material on the anterior lens capsule has three distinct zones: a central disc with curled edges; a clear zone, probably corresponding to contact with the moving iris; and a peripheral granular zone. Study aimed to Evaluate IOP >21 mm Hg in Patients with Pseudoexfoliation in hilly terrains of North India Material and methods: This study was conducted in Department of Ophthalmology, MM Medical College and Hospital, Solan from January 2014 to December 2016. Four hundred confirmed cases of pseudoexfoliation were included in the study. Pseudoexfoliation was diagnosed on slit lamp biomicroscopy by the presence of white dandruff like material on the pupillary margin, on the trabecular meshwork, and or on the anterior lens capsule of one or both eyes. Results: Out of 400 patients with psedoexfoliation, 241 (60.25%) were males and 159 (39.75%) were females. 313 (78.25%) patients had unilateral and 87 (21.75%) had bilateral involvement with PEX. 118 eyes had intraocular pressure of more than 21 mm Hg in which 60 patients had unilateral and 29 patients had bilateral involvement. It was seen that frequency of eyes with pseudoexfoliation increased with age. Conclusion: In this study it was observed that significant number of patients with pseudoexfoliation had high IOP and in higher age group both eyes were involved with PEX more frequently. Higher magnification under slit lamp is needed to document the evidence of fibrillary material in the fellow eye in which changes of PEX are less evident or doubtful under low magnification as compared to the primary eye.
Authors and Affiliations
Amit Chopra, Rakesh Kumar Gupta
Keywords
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