Cataract surgery in patients with pseudoexfoliation

Poster Details

First Author: MirjanaJanicijevic-Petrovic SERBIA

Co Author(s):    Tatjana Sarenac-Vulovic   Dejan Vulovic   Katarina Janicijevic   Marko Petrovic   Dragan Vujic  

Abstract Details

Purpose:

Pseudoexfoliative syndrome is systemic anomally with primarily affects of eyes. We present the best possible approach on pseudoexfoliative syndrome and surgical methods for patients with cataract with special accent of surgical complications. Our purpose was to show that patients who were operated in the early stages of the disease had much better results.

Setting:

: Clinical Centre Kragujevac

Methods:

Retrospective 5-year study based of general and ophthalmic history records, and included of 268 eyes (174 patients), aged 50 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 (extra capsular cataract extraction, phacoemulsiphication).

Results:

Preoperative slit lamp examination showed phacodonesis in 17.91% (47), iridodonesis in 2.98% (8), pigment dispersion in 6.72% (18), lens subluxation in 4.85% (13) of all patients. Extra capsular cataract extraction was performed in 36.94% (99) and phacoemulsiphication in rest. Distribution of intra operative complications showed: posterior capsular rupture 17.91% (48), zonular dialysis or break 5.97% (16), lens subluxation 1.86% (5), intraocular bleeding 2.98% (8), vitreous loss 13.80% (37). Postoperative complications include: anterior chamber reaction 45.90% (123), intraocular lens tilt 15.67% (42), endothelial decompensate 21.64% (58), subluxation/luxation IOL 3.73% (10), secondary cataract 21.46% (58), pigment dispersion 37.68% (101), increased IOP 13.80% (37), residual lens matter 13.80% (37), hyphema 3.73% (10), posterior synechiae 6.72% (18), iris prolapsed 2.73% (8).

Conclusions:

Cataract surgery in pseudoexfoliative syndrome will frequently encounter small pupils, shallow anterior chambers, posterior adhesions, weak zonular support, partial subluxation or complete dislocation of lens. Authors presented the best possible approach on pseudoexfoliative syndrome and surgical methods for patients with cataract with special accent of surgical complications. FINANCIAL INTEREST: NONE