Pseudoexfoliation - A Dreaded Nightmare in Cataract Surgery

Kar, Sushil; Bhuyan, Lopamudra; Nanda, Ashok Kumar

doi:10.7439/ijbar.v6i2.1608

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…Immature cataract with various nucleus sclerosis There were many studies which explain intraoperative complications 8,9 and its management during cataract surgery. 2 In our study complications during cataract surgery were not assessed, but most of the patients underwent small incision cataract surgery and few extracapsular cataract extraction due to poor pupillary dilatation. One eye out of 150 eyes had phacodonesis.…”

Section: Resultsmentioning

confidence: 97%

“…11 A study by Cho et al revealed cataract surgery in itself can induce dry eye. 12 Presence of pseudoexfoliation can cause many intraoperative complications as explained by Sushil Kumar et al 2 and Pranithi et al 8 So if a patient has dry eyes due to pseudoexfoliation then cataract surgery further induces dry eye syndrome in such patients. According to Kuppan et al antiglaucoma medications such as timolol can cause dry eye.…”

Section: Resultsmentioning

confidence: 99%

“…In eyes it is present in anterior chamber and its angle, trabecular meshwork, epithelium of ciliary body, iris and lens. 2 Apart from eyes, pseudoexfoliative material is also seen in other organs such as heart, lung, kidney, brain and vessels using electron microscopy or specific histochemical markers. 3 Ocular manifestations such as dry eye syndrome, open angle glaucoma, central retinal vein occlusion and cataract are well known in pseudoexfoliation.…”

Section: Introductionmentioning

confidence: 99%

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Dry eyes in patients with pseudoexfoliation –A descriptive study

Gowthaman¹,

Sanjana²,

Prasanth³

2020

PJMS

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Pseudoexfoliation syndrome is seen commonly above 60 years of age. It can lead to various complications such as poor dilatation of pupil, increased IOP and intraoperative complications such as zonular dehiscence or capsular rupture, vitreous loss and subluxation of intraocular lens. Pseudoexfoliative glaucoma is one of the common types of secondary open angle glaucoma. Pseudoexfoliation syndrome can also cause ocular surface disorders due to tear film instability. Hence this study was done to assess the prevalence of dry eyes in patients with pseudoexfoliation. Materials and Methods: This was a descriptive study which involved 150 eyes with pseudoexfoliation syndrome. Tear secretion assessment was done using Schirmer's test I. Then the tear film stability was evaluated using Tear break-up time(TBUT). Ocular surface damage was assessed using Fluorescein staining and Lissamine green staining. Result: Schirmer's test I, 144 eyes out of 150 eyes had Schirmer's test value more than 15 mm (96%). 4 eyes (2.6%) had value between 10-15 mm .2 eyes (1.4%) had value between 5-10 mm. Six eyes with dry eye syndrome were identified by Schirmer's test I. Tear breakup time was decreased in 3 eyes (between 7-9 seconds). Three eyes with dry eye syndrome were identified by TBUT test. Fluorescein staining was positive in one eye. Lissamine staining was positive in 2 eyes with score of 2 and 3. In this study of pseudoexfoliation patients, there were 9 eyes(6%) with dry eye syndrome. Conclusion: Early recognition of dry eye syndrome in patients with pseudoexfoliation syndrome can reduce ocular morbidity and prevent a significant compromise in their quality of life.

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Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Dry eyes in patients with pseudoexfoliation –A descriptive study

Gowthaman¹,

Sanjana²,

Prasanth³

2020

PJMS

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The effect of giving fermented rice bran suspension on fecundity and production of moina macrocopa offspring per parent

Damayanti

Mubarak

Sari

2020

IOP Conf. Ser.: Earth Environ. Sci.

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The objectives of this research were: 1) determine the effect of fermented rice bran suspension concentration on the fecundity and production of M. macrocopa offspring per parent, 2) determine the optimal concentration of fermented rice bran suspension on the fecundity and production of M. macrocopa offspring per parent. This research used an experimental method with a completely randomized design consisting of six treatments of suspension of rice bran without fermentation (P0), 19.54 mg / L fermented rice bran suspension (P1), 21.98 mg / L fermented rice bran suspension (P2), 24.42 mg / L fermented rice bran suspension (P3), 26.68 mg / L fermented rice bran suspension (P4) and 29.30 mg / L fermented rice bran suspension (P5) in four replications for each. The results of the culture with a different concentration of rice bran suspension showed a significant difference (P <0.05) on the fecundity and production of M. macrocopa offspring per parent. The highest fecundity and production of M. macrocopa offspring per parent occurred in M. macrocopa culture with a concentration of fermented rice bran suspension of 29.30 mg / L (P5) with the fecundity 21-25 grains/parent and production of offspring 20-24 ind/parent.

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Ocular Clinical Spectrum of Pseudoexfoliation in Cataract Patients at a Tertiary Eye Care Centre in Rural Maharashtra – A Cross Sectional Study

Dhakne¹,

Karad²,

Karad³

et al. 2021

jebmh

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BACKGROUND Pseudoexfoliation (PEX) is a systemic microfibrillopathy characterised by accumulation of gray-white fibrogranular extracellular material over the lens, pupil or cornea. Different clinical variants of PEX in cataract patients are known to occur. We wanted to study the different clinical variants of PEX in cataract patients, the intraoperative and postoperative complications and the visual prognosis of cataract surgery. METHODS A total of 100 patients with PEX in cataract were subjected to detailed examination and necessary investigations. Cataract surgery was performed in all patients using the manual small incision cataract surgery (SICS). Vision before and after surgery was recorded. Refraction was done and documented. Best corrected visual acuity was noted and was followed-up postoperatively for 2 – 4 weeks. RESULTS Maximum prevalence of PEX (57 %) was seen in 51 - 60 years of age and 64 % were males and 36 % were females. The involvement was bilateral in 53 % and unilateral in 47 % cases. The range of intraocular pressure (IOP) was 12.4 mm Hg to 23.1 mm Hg. 67 % patients had insufficient mydriasis and 81 % cases were found to have PEX material deposited on the peripheral zone and 19 % cases on both peripheral zone and central zone. A total of 27 % cases had mature cataract and 7 % had hypermature cataract. CONCLUSIONS PEX requires a thorough preoperative planning along with a proper intraoperative care to ensure an uneventful surgery and a successful postoperative result. KEYWORDS Pseudoexfoliation, Mydriasis, Cataract

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Pseudoexfoliation - A Dreaded Nightmare in Cataract Surgery

Cited by 3 publications

References 17 publications

Dry eyes in patients with pseudoexfoliation –A descriptive study

Dry eyes in patients with pseudoexfoliation –A descriptive study

The effect of giving fermented rice bran suspension on fecundity and production of moina macrocopa offspring per parent

Ocular Clinical Spectrum of Pseudoexfoliation in Cataract Patients at a Tertiary Eye Care Centre in Rural Maharashtra – A Cross Sectional Study

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