A study of preoperative, intraoperative and postoperative complications of pseudoexfoliation syndrome in Indian eyes undergoing cataract surgery

Abstract

Objectives: To study the clinical profile and complications encountered in the management of cataract patients with pseudo exfoliation syndrome (PXF). Method: A cross sectional hospital based study was done on 50 eyes of 50 patients in a tertiary care, Bijapur from January 2022 to May 2022. All these patients were above fifty and were diagnosed as cataract associated with PXF. Patients with previous history of trauma and ocular surgery, true exfoliation and patients with systemic comorbidities like uncontrolled DM, CVD, stroke, etc were excluded from the study. All patients underwent manual SICS with intraocular lens implantation. Preoperative, intraoperative and postoperative complications were studied. Patients were reviewed upto 6 weeks post-op. Results: A total of 50 eyes of 50 patients diagnosed as cataract with pseudo exfoliation underwent small incision cataract surgery. Preoperatively 6(12%) cases had zonular weakness, 1(2%) case had glaucoma and 8(16%) cases had insufficient mydriasis. Intraoperatively-5(10%) cases had zonular dialysis,3(6%) cases had Posterior capsular rent, 4(8%) had vitreous loss and 2(4%) sphincterotomies. Postoperatively-6(12%) cases had pupillary fibrin membrane, 2(4%) cases of iritis. Conclusion: Cataract surgery in patients with pseudoexfoliation syndrome has higher incidence of preoperative, intraoperative and postoperative complications. Insufficient mydriasis being the most common preoperative complication, zonular dialysis the most common intraoperative and pupillary fibrin membrane the most common post operative complication. A complete preoperative workup helps reduce intraoperative complications and maximizes the postoperative results.

Keywords

• pseudoexfoliation
• insufficient mydriasis
• glaucoma
• zonular dislocation