Phacoemulsification cataract surgery in eyes with pseudoexfoliation: Results from a military hospital in western India

Ranjit Goenka; BV Rao

Volume : VII, Issue : IX, September - 2018

Phacoemulsification cataract surgery in eyes with pseudoexfoliation: Results from a military hospital in western India

Ranjit Goenka, Bv Rao

Abstract :

Objective:

The aim of this study was to evaluate the intraoperative and postoperative complications and visual outcomes of phacoemulsification cataract surgery in patients with pseudoexfoliation (PEX).

Materials and methods:

27 eyes with cataract and pseudoexfoliation that underwent phacoemulsification and intraocular lens (IOL) implantationwere included in the study. A detailed preoperative assessment including visual acuity, slit lamp examination, presence of pseudoexfoliative material, intraocular pressure measurement, keratometry and biometrywas done for all the patients.Intraoperative complications, use of adjunctive pupil and zonule support devices if any,postoperative day 1 intraocular pressure (IOP), prevalence of post operative corneal decompensation, anterior chamber inflammationand visual outcomes one month after surgeries were analyzed.

Results:

There were 13males (48.1%) and 14 (51.8%) females among total of 27patients with PEX andcataract.The mean age of the study group was 67.61 years (range 58-87 years). Mean pupillary diameter after maximal mydriasis was 6.14 mm (range 5-8 mm).Adjunctive pupillary or capsular support devices were not used in any case. At the end of 1 month,24eyes (88.8%) achieved a best corrected visual acuity (BCVA) of 6/9 to 6/6.Three eyes (11.1%) had a BCVA of 6/12. There was no case of vitreous loss, corneal decompensation and persistent intraocular pressure elevationin this study.

Conclusion:

Phacoemulsification is safe in eyes with cataract and pseudoexfoliationwith excellent postoperative visual outcomes. Awareness about potential complications of cataract procedures in patients with PEX is important to prevent intraoperative complications.