Pseudoexfoliation Syndrome with Cataract and its Surgical Management
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 5, Issue 11
Abstract
Introduction: Pseudoexfoliation (PXF) syndrome is an age-related disease where fibrillogranular material accumulates in many ocular tissues. Therefore, cataract extraction has increased the risk of zonular dehiscence with poor pupillary dilatation leading to complications. Purpose: The aim of the study was to study PXF syndrome and its surgical management. Materials and Methods: A prospective study conducted among 25 patients with PXF. Examination includes visual acuity, anterior segment with slit-lamp biomicroscopy, intraocular pressure, gonioscopy, and dilated fundus examination followed by cataract surgery. Results: Majority of patients were in the age group between 66 and 75 years (66%). Cataract surgery with implantation of posterior chamber intraocular lens (IOL) was done 20 patients (80%), anterior chamber IOL in 2 patients (8%), scleral-fixated IOL in 1 patient (4%), and aphakia in 2 patients (8%). Conclusion: PXF presents with cataract and glaucoma which needs pre-operative evaluation and intra-operative care to prevent complications for good surgical outcome.
Authors and Affiliations
T M Nithisha, A Elavarasi
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