Posters

Outcomes of eyes with pseudoexfoliation undergoing cataract surgery

Poster Details

First Author: T.Akcetin TURKEY

Co Author(s):    K. Eltutar   N. Dincer                 

Abstract Details

Purpose:

To evaluate the intraoperative difficulties and postoperative complications of cataract surgery in patients with pseudoexfoliation (PEX) syndrome

Setting:

Istanbul Education and Research Hospital Ophthalmology Clinic, İstanbul TURKIYE

Methods:

This study were included 30 patients (33 eyes) with Pseudo exfoliation syndrome who underwent phacoemulsification and intra ocular lens implantation.The mean age was 71.85±6.19 years and Male to Female ratio was 12:18. Preoperativelly the presence of small pupils, zonularweakness,elevation of intraocular pressure in these eyes,intraoperative and postoperative complications were evaluated

Results:

Intraoperativelly pupillary distance was less than 4mm in 9 eyes and iris hook has been applied to all these eyes.İntraoperatively there were 18(%54.5) eyes of zonular weakness, 13eyes were measured ACD 2.17±0.21(≤2.5mm) and other 5 eyes were measured ACD 2.94±0.32(>2.5mm).All these eyes were performed capsule tension ring(CTR).PEX with glaucoma was seen in 14cases(%46.6).No posterior capsular rupture occurred in any of the cases intraoperative.In one case with glaucoma early capsular contraction was seen, Nd:YAG laser was performed.While preoperativelly BCVA was1.08±0.58LogMAR,final BCVA was 0.33±0.12LogMAR. While preoperativelly IOP was 19.35±7.18mmHg,postoperatively15.7±2.43mmHg in1th week were measured.

Conclusions:

Cataract surgery in eyes with PXE has higher incidence of intraoperative and postoperative complications.In patients with PEX syndrome requires careful preoperatively planning for safe and successful surgery.

Financial Disclosure:

None