Volume : 7, Issue : 9, September - 2018

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

Ranjit Goenka, Bv Rao

Abstract :

<p class="MsoNormal" style="text-align:justify;line-height:200%"><b style="mso-bidi-font-weight:normal"><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:200%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">Objective:<span style="text-transform:uppercase"><o:p></o:p></span></span></b></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">The aim of this study was to evaluate the intraoperative&nbsp;and postoperative <span class="highlight">complications</span>&nbsp;and visual outcomes of&nbsp;phacoemulsification cataract <span class="highlight">surgery in</span>&nbsp;<span class="highlight">patients</span>&nbsp;with&nbsp;<span class="highlight">pseudoexfoliation </span>(PEX).<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><b style="mso-bidi-font-weight:normal"><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:200%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">Materials and methods:<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">27 eyes with cataract and pseudoexfoliation that underwent phacoemulsification&nbsp;and intraocular lens (IOL) implantationwere included in the study.&nbsp;</span><span lang="EN-IN" style="font-size:12.0pt;line-height:&#10;200%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;;&#10;mso-fareast-language:EN-IN">A detailed preoperative assessment including visual acuity, slit lamp examination, </span><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:200%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">presence of pseudoexfoliative material, </span><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:200%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;;&#10;mso-fareast-language:EN-IN">intraocular pressure measurement, keratometry</span><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;"> and</span><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Arial&quot;,&quot;sans-serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:&#10;EN-IN"> biometrywas done for all the patients.Intraoperative complications,</span><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;"> use of adjunctive pupil and zonule support devices if any,postoperative day 1 intraocular pressure (IOP), </span><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:200%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;;&#10;mso-fareast-language:EN-IN">prevalence of post operative corneal decompensation, anterior chamber inflammationand visual outcomes one month after surgeries were analyzed</span><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;&#10;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">.<o:p></o:p></span></p> <h4 style="margin-top:0in;margin-right:3.0pt;margin-bottom:0in;margin-left:&#10;0in;margin-bottom:.0001pt;text-align:justify;line-height:200%;background:white"><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;&#10;color:windowtext;font-style:normal;mso-bidi-font-style:italic">Results:<o:p></o:p></span></h4> <p class="MsoNormal" style="text-align:justify;line-height:200%"><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">There were 13males (48.1%) and 14 (51.8%) females among total of 27patients with PEX&nbsp;andc<span class="highlight">ataract.</span>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.<o:p></o:p></span></p> <h4 style="margin-top:0in;margin-right:3.0pt;margin-bottom:0in;margin-left:&#10;0in;margin-bottom:.0001pt;text-align:justify;line-height:200%;background:white"><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;&#10;color:windowtext;font-style:normal;mso-bidi-font-style:italic">Conclusion:<span style="text-transform:uppercase"><o:p></o:p></span></span></h4> <p style="margin-top:0in;margin-right:0in;margin-bottom:6.0pt;margin-left:0in;&#10;text-align:justify;line-height:200%;background:white"><span class="highlight"><span lang="EN-IN" style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;background:white">Phacoemulsification</span></span><span lang="EN-IN" style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;background:white">&nbsp;is safe in&nbsp;<span class="highlight">eyes</span>&nbsp;with&nbsp;cataract and <span class="highlight">pseudoexfoliationwith excellent postoperative visual outcomes.</span></span><span lang="EN-IN" style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;"> Awareness about potential&nbsp;<span class="highlight">complications</span>&nbsp;of&nbsp;<span class="highlight">cataract</span>&nbsp;procedures in&nbsp;<span class="highlight">patients</span>&nbsp;with PEX is important to prevent intraoperative&nbsp;<span class="highlight">complications</span>. <o:p></o:p></span></p>