A cross Sectional Study of the Outcome of Small Incision Cataract Surgery in Pseudoexfoliation Syndrome Cases done at KLE’S Dr. Prabhakar Kore Hospital and MRC, Belgaum

Abstract

BACKGROUND ABSTRACT Pseudoexfoliation syndrome is a common clinically important systemic condition characterized by the pathological production and accumulation of an abnormal fibrillar extracellular material in many intraocular and extra-ocular tissues. Many studies have shown that Pseudoexfoliation syndrome patients have higher rates of intraoperative complications during cataract surgery compared to the patients without the condition. OBJECTIVES 1) To study the clinical features of pseudoexfoliation syndrome. 2) To study the intraoperative complications of manual small incision cataract surgery in eyes with pseudoexfoliation syndrome. METHODS It is a hospital based cross-sectional study of 45 eyes of 45 patients with cataract and Pseudoexfoliation syndrome attending Ophthalmology OPD at KLE Dr. Prabhakar Kore Hospital and MRC,Belgaum. The average age of patients in the study was 65.83 years with a male predominance with higher incidence of unilateral than bilateral involvement. In the study, 24 ( 53.4 % ) of the patients had intraoperative complication while 21 ( 46.6% ) did not. 12 ( 26.7 % ) of the patients had Zonular dehiscence, 8 ( 17.8 % ) of the patients had Posterior Capsular Rent and 8 ( 17.8 % ) of the patients had Vitreous loss. 44 ( 97.8 % ) of the patients were implanted with intraocular lens after employment of various surgical modifications. 1 ( 2.2 % ) of the patients were left aphakic due to the above mentioned complications. IV INTERPRETATION & CONCLUSION Inadequate mydriasis is one of the major preoperative complications in eyes with Pseudoexfoliation syndrome which has a bearing on the intraoperative complications. Pupil enlargement procedures are advocated during cataract surgery.Corneal endothelial touch was noted as one of the major complications due to excessive handling of the large and hard nucleus. Though Small incision cataract surgery in eyes with Pseudoexfoliation syndrome is associated with intraoperative complications ,they can be managed well and good outcome can be expected.