outcome of cataract surgery in normal and pseudoexfoliative eyes n.
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OUTCOME OF CATARACT SURGERY IN NORMAL AND PSEUDOEXFOLIATIVE EYES PowerPoint Presentation
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OUTCOME OF CATARACT SURGERY IN NORMAL AND PSEUDOEXFOLIATIVE EYES - PowerPoint PPT Presentation


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OUTCOME OF CATARACT SURGERY IN NORMAL AND PSEUDOEXFOLIATIVE EYES. PURPOSE. To evaluate surgical outcome of cataract surgery in patients with pseudo exfoliation in the setting of normal IOP and no glaucomatous changes. METHOD. Type of study: Prospective case control study

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Presentation Transcript
purpose
PURPOSE
  • To evaluate surgical outcome of cataract surgery in patients with pseudo exfoliation in the setting of normal IOP and no glaucomatous changes.
method
METHOD
  • Type of study: Prospective case control study
  • Sample size: 100 patients with senile cataract
  • 50 having cataract with no associated risk factor
  • 50 with cataract associated with pseudoexfoliation
  • Inclusion criteria:
  • All cataract patients having no associated risk factor
  • All pseudoexfoliation cases with out raised IOP and glaucomatous changes in the disc
  • Type of surgery: Manual small incision cataract surgery with in the bag PCIOL implantation
method1
METHOD
  • Examination
  • Visual acuity: Snellens converted to LogMAR
  • Anterior segment examination: Slit lamp with specific stress on zonular status
  • IOP measurement: Goldman applanation tonometry
  • Dilated fundus: with 20D indirect ophthalmoscopy and 90D slit lamp biomicroscopy
observations
OBSERVATIONS

Visual acuity in LogMAR-pre and post SICS in non PXF and PXF eyes

P value >0.05

observations1
OBSERVATIONS

Preoperative IOP in non PXF and PXF eyes

P value > 0.05

observations2
OBSERVATIONS
  • Complications:
  • Pre-operative
  • Non-dilating pupil in pxf patients
  • Intraoperative
  • 1 rent in normal patients
  • 2 rents in pxf patients
  • 2 zonular dialysis in pxf patients
conclusions
CONCLUSIONS
  • Visual outcome after cataract surgery and peroperative complications in non glaucomatous pseudo exfoliation syndrome patients is comparable to normal patients.
  • The only drawback is the small, non dilating pupil which can be managed by doing sphincterotomy or using iris hooks.