Systemic Associations and Prevalence of Exfoliation Syndrome in Patients Scheduled for Cataract Surgery

Abstract

XFS is a common problem in the aging cataract population of Turkey and increased IOP, glaucomatous optic neuropathy, and coronary heart disease occur more frequently in patients with XFS compared with subjects without XFS.

Frequency of pseudoexfoliation among patients scheduled for cataract surgery

“…18,19 Few studies have assessed the relationship between PXF and different cataract subtypes, reporting a significant association between PXF and nuclear cataract in contrast with the cortical and subcortical cataract subtypes. [20][21][22][23][24] However, none of these studies evaluated whether there is a relationship between PXF and different grades of nucleus hardness. A recent longitudinal cohort study 22 found a significant correlation of PXF with the long-term incidence of nuclear cataracts and cataract surgery but failed to show statistically relevant long-term progression of cataract in PXF eyes.…”

Intra-individual comparison after combined phaco-trabecular aspiration in pairs of pseudoexfoliative eyes

“…The pseudoexfoliation material is deposited extracellularly on the anterior surface of the lens, zonules, ciliary body, iris, trabecular meshwork, posterior surface of the cornea and the conjunctiva. Moreover, exfoliative fibrillopathy has been reported in skin and visceral organs [4], suggesting that pseudoexfoliative syndrome and glaucoma may be an ocular manifestation of a systemic disorder [5].…”

Pseudoexfoliation - A Dreaded Nightmare in Cataract Surgery

“…Some previous studies showed male preponderance while Aravind et al in 2003 showed no sex predilection. [4] IJBAR (2015) 6 (02) www.ssjournals.com…”

“…[3] A study carried out in South India reported prevalence of PXE as 3.8%, while the Andhra Pradesh Eye Disease Study reported it as 3.01%. [4], [5] PXE induced iridopathy and phacopathy with zonular instability make routine cataract surgery a challenging task. Scorolli et al [6] found that such patients have 5 times greater risk of intraoperative complications in cataract surgery compared with normal cases.…”