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OUTCOME OF CATARACT SURGERY IN NORMAL AND PSEUDOEXFOLIATIVE EYES

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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OUTCOME OF CATARACT SURGERY IN NORMAL AND PSEUDOEXFOLIATIVE EYES

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  1. OUTCOME OF CATARACT SURGERY IN NORMAL AND PSEUDOEXFOLIATIVE EYES

  2. PURPOSE • To evaluate surgical outcome of cataract surgery in patients with pseudo exfoliation in the setting of normal IOP and no glaucomatous changes.

  3. 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

  4. 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

  5. OBSERVATIONS Visual acuity in LogMAR-pre and post SICS in non PXF and PXF eyes P value >0.05

  6. OBSERVATIONS Preoperative IOP in non PXF and PXF eyes P value > 0.05

  7. 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

  8. 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.

  9. THANK YOU

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