Author(s): Anuradha A1, Vidyadevi M2, Kailash P. Chhabria3, Samhitha H. R4, Shilpa Y. D5
PURPOSE: To study the clinical features of pseudoexfoliation syndrome, intraoperative complications and techniques to minimize intraoperative complications during manual small incision cataract surgery
METHODS: It is a hospital based study of 30 eyes of 30 patients with cataract and Pseudoexfoliation syndrome in a tertiary eye hospital.
RESULTS: The average age of patients in the study was 63.83 years with a male predominance with equal incidence of unilateral and bilateral involvement with pseudoexfoliation and cataract. In the study, 8(26.67%) of the patients had intraoperative complication while 22(73.33%) did not. 5 (16.67%) of the patients had zonular dehiscence, 5(16.67%) of the patients had Posterior Capsular Rent and 3(10%) of the patients had Vitreous loss. 27(90%) of the patients were implanted with intraocular lens after employment of various surgical modifications. 3(10%) of the patients were left aphakic due to the above mentioned complications.
INTERPRETATION & CONCLUSION: Inadequate mydriasis is one of the major preoperative complications in eyes with Pseudoexfoliation syndrome which has a bearing on the intraoperative complications. Pupil enlargement procedures are advocated during cataract surgery. Though Small incision cataract surgery in eyes with Pseudoexfoliation syndrome is associated with intraoperative complications, they can be managed well and good outcome can be expected.