EVALUATION OF OCULAR PROFILE OF PATIENTS WITH PSEUDOEXFOLIATION SYNDROME IN A TERTIARY EYE CARE CENTER IN WEST BENGAL
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 55
Abstract
BACKGROUND Pseudoexfoliation Syndrome (PEX) is characterized by the deposition of a distinctive fibrillar material on the lens capsule, pupillary margin, iris, ciliary body and subconjunctival tissue and has also been identified in other parts of the body. PEX occurs worldwide and prevalence rates vary from 10 to 20% of the general population over the age of 60 years. Heightened awareness of this condition and its associated clinical signs are important in the detection and management of glaucoma, and preoperative determination of those patients at increased risk for surgical complications. The aim of the study was to evaluate the ocular profile of patients with Pseudoexfoliation Syndrome in a tertiary eye care centre in West Bengal and to assess surgical complications which may arise from Pseudoexfoliation Syndrome. MATERIALS AND METHODS This is institution based cross sectional study, conducted at the Regional Institute of Ophthalmology (RIO) OPD over a period of 1.5 years starting from February 2014 to July 2015. Fifty patients with the age between 20-80 years, attending RIO, OPD and diagnosed as having Pseudoexfoliation Syndrome were included in our study. Patients with other causes of secondary glaucoma and Fuchs Heterochromic Uveitis were excluded from our study RESULTS In our study we found results similar to other studies with respect to age distribution of pseudo exfoliation patients. Higher incidence was found in age group of patients more than 55 years. The PEX patients in our study had10.0%, 4.0%, 3.0% and 2.0% of pseudoexfoliation glaucoma (PXG), primary open angle glaucoma (POAG), primary angle closure glaucoma(PACG) and normal tension glaucoma (NTG) respectively. 81% eyes were non-glaucomatous. The mean IOP (mean ± s.d.) of the patients was 17.48 ± 2.58 mmHg with range 14 - 23 mmHg and the median was 17 mmHg. Surgical complication was observed in 22.22% of the cases, but this was not further analysed since very few patients (9 patients) underwent surgical procedures. CONCLUSION Pseudoexfoliation syndrome presents challenges that need careful preoperative planning and intraoperative care to ensure safe surgery and a successful postoperative outcome. It is associated with higher IOP, incidence of cataract, and poor vision. Further population based longitudinal studies are warranted to assess the prevalence of PEX and associated risk factors.
Authors and Affiliations
Nirmal Kumar Sasmal, Somnath Das, Akshay Agnihotri
Keywords
Related Articles
- EP ID EP227468
- DOI 10.18410/jebmh/2017/667
- Views 70
- Downloads 0
SCLEROTHERAPY FOR MALIGNANT PLEURAL EFFUSIONS- A PROSPECTIVE RANDOMIZED TRIAL OF VINCRISTINE VERSUS CISPLATIN
BACKGROUND Malignant pleural effusions are a common cause of morbidity in patients with advanced cancer. Cancer of the lung breast and lymphomas account for approximately 75 % of malignant pleural effusions. Sarcomas and...
RECONSTRUCTION OF SUPPLE SCAR OF POST BURN CONTRACTURE OF NECK BY Z-PLASTY
Denonvilliers in 1856 was the first one to describe Z-plasty technique as a surgical correction for lower lid ectrpion and it was McCurdy who made the first reference to this technique in the American Literature in 1913...
STUDY OF EFFECT OF DURATION AND SEVERITY OF SMOKING ON SERUM MAGNESIUM LEVELS IN YOUNG SMOKERS
BACKGROUND The commonest method of smoking today is through cigarettes. Global surveys show a fourfold increase in prevalence of smoking habit between ages 15-29 years in last decade. Magnesium is involved in more than 3...
A CROSS SECTIONAL STUDY OF PREVALENCE AND TYPE OF DIABETIC FOOT ULCERS IN TYPE 2 DIABETIC MELLITUS PATIENTS
BACKGROUND: Diabetic foot ulcers are common and estimated to affect 15% of all diabetics. In India it is estimated that approximately 40,000 legs are being amputated every year of which 75% are potentially preventable. M...
SUICIDAL HANGING IN URBAN YOUTH: A PROSPECTIVE STUDY
BACKGROUND: Suicide is among the top three causes of death among youth worldwide. Hanging is among the most common modes of suicide. OBJECTIVES: The purpose of this prospective study is to determine the Suicidal hanging...