DOI: 10.36347/sjams.2018.v06i11.033

Pages: 4333-4336

Pseudoexfoliation syndrome is an age-related systemic disease. There is a deposition of whitish-gray, fibrillogranular amyloid like material on various ocular structures such as the anterior lens capsule, zonules, ciliary body, pupillary margin of the iris, corneal endothelium, anterior vitreous and trabecular meshwork. Pseudoexfoliation is associated with increased incidence of cataract, complications during cataract surgery and glaucoma. This study was done to document the visual and surgical outcome of phacoemulsification in patients with pseudoexfoliation syndrome. Forty three eyes of 43 patients with pseudoexfoliation,who underwent phacoemulsification at RIO, RIMS Ranchi were retrospectively studied. Intraoperative complications were zonular dialysis in 5 (11.62%) cases, posterior capsular rupture in 3 (6.9%) cases, iris hook required in 5 (11.6%) cases and 1 (2.3%) patient left aphakic. Post-operative complications were cystoid macular oedema in 2 (4.7%) cases, raised intraocular pressure in 4 (9.3%), posterior capsular opacity in 6 (13.9%) cases and IOL decentration 3 (6.9%). Final best- corrected visual acuity was between 6/6-6/9 in 28 (65.1%) cases. Phacoemulsification in eyes with pseudoexfoliation has a higher incidence of operative and postoperative complications like failure of pupil dilatation, posterior capsular rupture, zonular dialysis and poor visual outcome due to raised IOP. Posterior capsular opacity formation and IOLdecentration are also more common in patients with pseudoexfoliation syndrome.