A One Year Cross Sectional Study Of Complications During Cataract Surgery In Patients With Pseudoexfoliation Syndrome Admitted In Kles Dr.Prabhakar Kore Hospital And Medical Research Centre, Belagavi

Abstract

Background and objectives Pseudoexfoliation is common and clinically important systemic condition that affects elderly population, who are likely to undergo cataract surgery. It causes serious complications during cataract surgery due to pupillary rigidity and zonular weakness and instability. Preoperative reduced anterior chamber depth may indicate zonular instability in eyes with pseudoexfoliation syndrome and should alert the cataract surgeon to the possibility of intraocular complications related to zonular dialysis. The objectives of our study are: 1) To study the complications during cataract surgery in patients with pseudoexfoliation syndrome. 2) To know the association of anterior chamber depth with complications during cataract surgery in patients with pseudoexfoliation syndrome. Methodology The present one year Cross Sectional Study of 50 patients was conducted on patients with pseudoexfoliation syndrome. All patients diagnosed with pseudoexfoliation syndrome undergoing Small Incision Cataract Surgery were selected for the study. All the intraoperative complications were noted during the surgery. Results The average age of patients was 67.18 years and about 76 % patients were above 60 years of age. 24% of patients had clinical unilateral involvement of Pseudoexfoliation syndrome and 76% had bilateral involvement. Poor pupillary dilatation was the most common finding. In the present study difficulty during anterior capsulotomy was noted in 8% cases, difficulty in nucleus delivery in 4%, corneal endothelial touch in 6%, Descements membrane stripping in 2%, Iridodialysis in 4%, zonular dialysis in 8%, Decentered IOL in 4%, Retained lens matter in 4%, intraoperative bleed in 2%, difficulty in prolapsing nucleus in 28% and sphincter tear was seen in 14% cases. In the present study the association of anterior chamber depth with complications during cataract surgery in patients with pseudoexfoliation syndrome is statistically not significant. Conclusion Inadequate mydriasis is one of the major preoperative factor in eyes with Pseudoexfoliation syndrome leading to the other intraoperative complications. Small incision cataract surgery in eyes with Pseudoexfoliation syndrome is associated with intraoperative complications but careful preoperative planning and intraoperative care ensures safe surgery and a successful postoperative outcome.