Surgical Management of Cataract in Pseudoexfoliation
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 1
Abstract
Introduction: Cataract surgery may be more hazardous in pseudoexfoliation (PEX) due to combination of poorly dilating pupil, increased risk of zonular dialysis and vitreous loss. Postoperatively these patients require frequent follow up to monitor for complications like raised intraocular pressure, inflammation and Intra ocular lens dislocation. Aim was to study the outcome of cataract surgery in pseudoexfoliation eyes. Material and Methods: In the current prospective, cross sectional, cost effective and out come study, 45 eyes of cataract with pseudoexfoliation of 45 target patients attending to the tertiary centre were included. Surgical procedure followed is Manual Small Incision Cataract Surgery. Adrenaline (preservative free,0.5mg to 500 ml of infusion ) has been used to get needed mydriasis during surgery. Various pre operative, intraoperative and Postoperative complications along with postoperative Best Corrected Visual Acuity and lens position are evaluated periodically from day 1 to 6 months. Exclusion Criteria: Eyes having obvious corneal pathology and obvious posterior segment pathology are excluded. Results: 3:2 (M:F) is the gender ratio. Poor pupillary dilatation and Nuclear sclerosis are the common associations observed among cataract eyes with PEX. There is 1 case (2%) of Phacodonesis. P.C IOL could be implanted in 44 (97.7%) cases and their visual out come is between 6/12 to 6/6. Sulcus fixated IOL is kept in one case (2.2%) but with poor visual out come. Round Pupil could be achieved in 43 (95.5%) cases. Pupil is irregular in two (4.4%) cases due to sphincterotomy. Five (11.1%) cases developed PCO within 6 months of follow up and are managed by Nd YAG capsulotomy (vide table No.4) Conclusion: The out come is good with Manual Small Incision Cataract Surgery with intraoperative preservative free adrenaline added to infusion bottle in eyes with pseudoexfoliation, risk of vision threatening problems can be minimised and it may be an option for surgical management of cataract in Pseudoexfoliation eyes. Our method does not appear to detract from the surgical out come
Authors and Affiliations
G. Satyavathi, M. Ravi Kumar, A. Hema Latha
Keywords
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