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VOLUME 7 , ISSUE 1 ( Jan-Jun, 2018 ) > List of Articles
Citation Information : Rajendran S. PG - 37: Clinical Profile and Outcome Of Pseudoexfoliation Among Patients Scheduled for Cataract Surgery. 2018; 7 (1):51-51.
License: CC BY-NC 4.0
Published Online: 00-06-2018
Copyright Statement: Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.
Background: Cataract surgery in pseudoexfoliation syndrome remains a challenge due to poor pupillary dilatation and increased risk of intraoperative complications. Aim: To study the clinical profile and immediate surgical outcome of patients with pseudoexfoliation syndrome (PXF) following manual small incision cataract surgery (MSICS). Methodology: A prospective observational study of patients with cataract and PXF was conducted between November 2015 and April 2017. A complete ophthalmic examination was done followed by MSICS in a tertiary care hospital. Results: 80 operated eyes of 80 patients were studied. Mean age was 62.51±8.91 years. 52% had bilateral presentation. PXF material on pupillary margin (96%) was the most common finding followed by PXF on anterior lens capsule (62%) and Bull\'s eye pattern (27%). 73% patients had hard cataract. Poor pupillary dilatation was noted in 16% patients. Posterior capsular rent was noted in 15% and zonular dehiscence in 10% patients. Postoperatively, significant corneal edema was seen in 26% and significant iritis in 38% patients. Good visual acuity on POD 1 was seen in 51% patients. Conclusion: Pseudoexfoliation syndrome was seen in 9.75% of the patients who underwent cataract surgery. Patients with pseudoexfoliation undergoing cataract surgery have poor pupillary dilatation and higher rate of posterior capsular rent. After cataract surgery 51% patients with PXF had good visual outcome. Proper preoperative assessment and planning is desirable in pseudoexfoliation syndrome.
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