Pseudoexfoliation - A Dreaded Nightmare in Cataract Surgery

International Journal of Biomedical and Advance Research

Sushil Kumar Kar ; Lopamudra Bhuyan ; Ashok Kumar Nanda

关键词: s cataract;    pesudoexfoliation;    phacoemulsification;   

学科分类：药学、药理学、毒理学（综合）

来源: Scholar Science Journals

【 摘 要 】

Aim: Pseudoexfoliation (PXE) is a common and clinically important systemic condition in elderly people that affects the outcome of cataract surgery. It can cause various complications during cataract surgery due to pupillary rigidity and zonular weakness and instability. The purpose of this study was to evaluate the frequency and types of complications of Phacoemulsification in patients with cataract and PXE. Materials and Methods: This cross sectional, prospective study was carried out on 60 eyes of 60 patients with cataract and PXE who underwent phacoemulsification in a tertiary care hospital. Their perioperative and post-operative complications were documented and analyzed. Results: Poor pupillary dilatation in spite of use of standard mydriatic drops and NSAID was the most common perioperative finding. This single factor made subsequent steps of surgery more difficult due to poor visualisation. Conclusion: Presence of associated PXE in cataract patients significantly increases the risk of vision threatening complications. Use of flexible iris hooks for small pupils, capsular tension rings for capsular stability and high viscosity viscoelastics are useful adjunct during surgical technique for good visual outcome.

【 授权许可】

CC BY