Abstract

A CLINICAL STUDY OF PSEUDOEXFOLIATIVE GLAUCOMA IN EASTERN ODISHA

Author(s): Dr. Ramamani Dalai,

BACKGROUND

Pseudoexfoliative material, the presence of which in the eye is termed as pseudoexfoliative syndrome (PXS), is a common cause of secondary open angle glaucoma world-wide.1 Pseudoexfoliation (PXF) should be differentiated from true capsular exfoliation, which occurs due to chronic Infrared exposure in glassblowers. We wanted to study the presentation, clinical features, management, and visual prognosis of pseudoexfoliation glaucoma cases in our department. METHODS This hospital based prospective study included 1253 patients with pseudoexfoliative material in one or more of the anterior segment structures with intraocular pressure (IOP)>21 mmHg and /or glaucomatous optic disc changes selected from the ophthalmology OPD of SCB Medical college from April 2016 to March 2018. RESULTS Incidence of pseudoexfoliation was found to be 1.3% among OPD patients who were >40 years of age and 8.9% of patients of pseudoexfoliation had glaucoma. CONCLUSIONS After medical and surgical management, most of the patients showed visual improvement with >6/60 in 70% of cases except those who had poor visual acuity at presentation because of advanced glaucomatous damage.