CLINICAL PROFILE AND VISUAL OUTCOME IN PSEUDOEXFOLIATION SYNDROME UNDERGOING MANUAL SMALL INCISION CATARACT SURGERY

Abstract

BACKGROUND: The accumulation of greyish white fibro granular extracellular material on the abnormal basement membranes of ageing epithelial cells causes pseudoexfoliation (PEX), an age related eye condition. T his study was done to evaluate the clinical profile and vi sual outcome in pseudoexfoliation syndrome undergoing manual small incision cataract surgery. OBJECTIVES OF THE STUDY 1. To study the clinical profile of patients with Pseudoex foliation syndrome and cataract 2. To evaluate the visual outcome in patients with Pseudoexfoliation syndrome undergoing Manual Small Incision Cataract Surgery. 3. To evaluate the intraoperative and post operative complications MATERIAL AND METHOD S 48 patients attending the outpatient department of ophthalmology, R.L.Jalappa Hospital And Research Centre, a ttached t o Sri Devaraj Urs Medical College, Tamaka, Kolar with pseudoexfoliation syndrome and senile cataracts fulfilling the study criteria were included in the study Following thorough ophthalmic valuation, manual small incision c ataract surgery with rigid PMMA IOL implantation was performed xv RESULTS RESULTS-- .. It It was found that pseudoexfoliation syndrome had a slight female was found that pseudoexfoliation syndrome had a slight female preponderance with unilateral involvement.preponderance with unilateral involvement. The overall mThe overall mean age of patients with ean age of patients with pseudoexfoliation syndrome werepseudoexfoliation syndrome were-- 69.25 69.25 ++ 7.24 years7.24 years. PEX was found to be distributed on . PEX was found to be distributed on pupillary border anterior capsule pupillary border anterior capsule and mostly associated with nuclear sclerosis, posterior and mostly associated with nuclear sclerosis, posterior subcapsular cataract and cortical cataract. with 5subcapsular cataract and cortical cataract. with 5--77mm dilating pupil. mm dilating pupil. A A mean IOP of mean IOP of 13.60±2.69 was observed on day 30 of follow up. Post13.60±2.69 was observed on day 30 of follow up. Post--operatively 26 individualsoperatively 26 individuals (54.2%) (54.2%) had developed corneal edema which could be due to difficult instrumentation through smallhad developed corneal edema which could be due to difficult instrumentation through small-- mid dilating pupilmid dilating pupil.. OOnn application of application of chichi--ssquarequare test for pre and test for pre and postpost--operativeoperative visual acuity,visual acuity, the the outcome was statistically significant.outcome was statistically significant. CONCLUSION CONCLUSION-- TThere can be here can be favorablefavorable outcomes in cataract patients having PXE by outcomes in cataract patients having PXE by proper proper preoperative diagnosis and following appropriate intrapreoperative diagnosis and following appropriate intra--operative precautioperative precautions.ons.