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Pseudoexfoliation Syndrome:Clinical Profile and Visual Outcome after Manual Small Incision Cataract Surgery


Affiliations
1 PG Resident, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College and Hospital, Research Centre, Nasik – 422003, Maharashtra, India
2 Senior Resident, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College and Hospital, Research Centre, Nasik – 422003, Maharashtra, India
3 Professor and Head, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College and Hospital, Research Centre, Nasik – 422003, Maharashtra, India
 

Background: Pseudoexfoliation (PXF) is an age related, systemic, elastic fibrillopathy causes serious complications during cataract surgery such as zonular dialysis, capsular rupture and vitreous loss. Aim: To study the profile of eyes with pseudoexfoliation syndrome and outcome after Manual Small Incision Cataract Surgery. Materials and Methods: This was a hospital based, prospective study was conducted at Tertiary Care Hospital between August 2016 to September 2018. PXF was diagnosed on slit lamp examination by the presence of white dandruff like material in anterior segment. Gonioscopy was done to know the status of angles, pigmentation and presence of PXF material. Results: Out of 80 patients with PXF who underwent manual small incision cataract surgery (MSICS), 17 patients had complications. Zonular Dialysis alone was found in 3 eyes (17.65%) and Zonular Dialysis with Vitreous Loss was seen in 4 eyes (23.53%). Only Posterior Capsular Rent (PCR) was found in 2 eyes (11.76%) and PCR with Vitreous Loss was found in 4 eyes (23.53%). Sphincter Tear was noted in 3 eyes (17.65%) and Iridodialysis was seen in one eye (5.88%). Conclusions: Ophthalmologists should focus on the detection of PXF especially considering the risks for intraoperative complications related to PXF. The diagnosis of PXF may also be important in the management of cataract in these patients.

Keywords

Complications, Pseudoexfoliation, SICS, Vitreous Loss, Zonular Dialysis.
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  • Pseudoexfoliation Syndrome:Clinical Profile and Visual Outcome after Manual Small Incision Cataract Surgery

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Authors

Mrunall Arun Borrse
PG Resident, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College and Hospital, Research Centre, Nasik – 422003, Maharashtra, India
Sanjay Mahadik
Senior Resident, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College and Hospital, Research Centre, Nasik – 422003, Maharashtra, India
Dhiraj Balwir
Professor and Head, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College and Hospital, Research Centre, Nasik – 422003, Maharashtra, India

Abstract


Background: Pseudoexfoliation (PXF) is an age related, systemic, elastic fibrillopathy causes serious complications during cataract surgery such as zonular dialysis, capsular rupture and vitreous loss. Aim: To study the profile of eyes with pseudoexfoliation syndrome and outcome after Manual Small Incision Cataract Surgery. Materials and Methods: This was a hospital based, prospective study was conducted at Tertiary Care Hospital between August 2016 to September 2018. PXF was diagnosed on slit lamp examination by the presence of white dandruff like material in anterior segment. Gonioscopy was done to know the status of angles, pigmentation and presence of PXF material. Results: Out of 80 patients with PXF who underwent manual small incision cataract surgery (MSICS), 17 patients had complications. Zonular Dialysis alone was found in 3 eyes (17.65%) and Zonular Dialysis with Vitreous Loss was seen in 4 eyes (23.53%). Only Posterior Capsular Rent (PCR) was found in 2 eyes (11.76%) and PCR with Vitreous Loss was found in 4 eyes (23.53%). Sphincter Tear was noted in 3 eyes (17.65%) and Iridodialysis was seen in one eye (5.88%). Conclusions: Ophthalmologists should focus on the detection of PXF especially considering the risks for intraoperative complications related to PXF. The diagnosis of PXF may also be important in the management of cataract in these patients.

Keywords


Complications, Pseudoexfoliation, SICS, Vitreous Loss, Zonular Dialysis.

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DOI: https://doi.org/10.18311/mvpjms%2F2019%2Fv6i2%2F22916