Posters

Cataract surgery complications and pseudoexfoliation

Poster Details

First Author: M. Janicijevic Petrovic SERBIA

Co Author(s):    T. Sarenac Vulovic   K. Janicijevic                 

Abstract Details

Purpose:

Our purpose was to show that patients who were operated cataract in the early stages of the disease had much better results.

Setting:

Pseudoexfoliative syndrome is systemic anomally with primarily affects of eyes. Authors present the best possible approach on pseudoexfoliative syndrome and surgical methods for patients with cataract with special accent of surgical complications.

Methods:

Retrospective 5-year study (from 2012 to 2016) based of general and ophthalmic history records, and included of 270 eyes (175 patients), aged 55 years and more. Ophthalmological examination involved visual acuity, measuring of intraocular pressure, slit lamp examination and indirect ophthalmoscope. Type of surgical treatment was adjusted for patient (phacoemulsiphication and extracapsular cataract extraction).

Results:

Preoperative slit lamp examination showed phacodonesis in 15.91% (46), iridodonesis in 2.38% (7), pigment dispersion in 7.72% (20), lens subluxation in 3.85% (12) of all patients. Extra capsular cataract extraction was performed in 35.94% (96) and the phacoemulsiphication in rest. Distribution of intra operative complications showed: posterior capsular rupture 16.91% (46), vitreous loss 13.88% (38), zonular dialysis or break 6.97% (18), intraocular bleeding 3.98% (9), lens subluxation 1.66% (4). Postoperative complications include: anterior chamber reaction 46.90% (125), pigment dispersion 38.68% (102), secondary cataract 22.46% (59), endothelial decompensate 22.64% (59), intraocular lens tilt 14.67% (40), residual lens matter 14.80% (38), posterior synechiae 7.72% (19), increased IOP 12.80% (36), hyphema 2.73% (9), subluxation/luxation IOL 2.73% (9) and iris prolapsed 1.73% (7).

Conclusions:

Cataract surgery in pseudoexfoliative syndrome will frequently encounter small pupils, shallow anterior chambers, weak zonular support, posterior adhesions, partial subluxation or complete dislocation of lens. Authors presented the best possible approach on pseudoexfoliative syndrome and surgical methods (phacoemulsiphication) for patients with cataract with special accent of surgical complications.

Financial Disclosure:

NONE