Utkarsha Deshmukh1, Atul Manoharrao Deshkar2
PXF glaucoma is the most common form of secondary open-angle glaucoma worldwide. PXF associated open-angle glaucoma represents a relatively severe and progressive type of glaucoma, which is less responsive to medical treatment due to high intraocular pressure levels and fluctuations in the diurnal pressure curve.
MATERIALS AND METHODS
139 eyes of 100 subjects from the outpatient services of the hospital having Pseudoexfoliation Syndrome (PXF) were scrutinised. The subjects underwent the following examinations- Best Corrected Visual Acuity (BCVA), Intraocular Pressure (IOP) - by both noncontact and applanation tonometry, slit-lamp examination (both undilated and dilated pupil), gonioscopy, fundus examination visual fields (when possible). All examinations were done by a single observer.
We found that 8 patients had pseudoexfoliation glaucoma. Out of these, 3 had unilateral and 5 had bilateral glaucoma. Thus, total 13 pseudoexfoliation eyes out of 139 examined had glaucoma (9.35%). Of these, 10 eyes (7.20%) had secondary open-angle glaucoma and 3 eyes (2.15%) eyes had secondary angle-closure glaucoma. The association between pseudoexfoliation and glaucoma was found to be statistically significant (p value of 0.045).
The association between pseudoexfoliation and glaucoma is significant, especially in older age groups and contributes to the visual impairment. Also, we found out a positive statistical association of pseudoexfoliation with age, cataract and poor mydriasis.