To Study the Iris Characteristics in Patients with Pseudo-Exfoliation Syndrome.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 3
Abstract
Introduction: Pseudoexfoliation syndrome is an age related disease characterized by production of extracellular material in the anterior segment of the eye and other tissue of the body. It is the most common cause of secondary open angle glaucoma in the world. Cataract occurs with increased frequency in eyes with pseudo-exfoliation and surgery is potentially complicated by the presence of small pupil and weak zonules. Aims and objectives : The present study is done to study the iris characteristics and pupil dilatation in patients with Pseudo-exfoliation syndrome. Materials and methods: The materials from the present study in drawn from fifty eyes of fifty patients of pseudoexfoliation syndrome in the department of ophthalmology at Sri Siddhartha Medical College and research Institute, Tumkur during the period November 2016 to October 2018. A careful and detailed history was taken regarding the duration and symptom of the disease. Slit lamp biomicroscopy examination for the evidence exfoliative material at the pupillary margin, and . Pupil reaction, size and shape were noted before and after mydriatics. Results: The average age of the patients in this study was 63.72±9.49 years with male and unilateral predominance. In this study 72% of the patients had presence of exfoliative material on the pupillary margin, 18% had moth eaten appearance, 36% had iris atrophy, 10 % had posterior synechiae and none of the patients had iridodonesis. In this study 44% of the patients had 3mm, 30% had 2mm and 26% had 4mm of pre-operative pupil dilatation size. Conclusions: Insufficient mydriasis is one of the major risk factor in eyes with pseudoexfoliation syndrome which will have effects on cataract surgery. Detailed pre-Operative assessment of the anterior segment examination to diagnose pseudoexfoliation syndrome can lead to improved tailoring of the patients undergoing cataract surgery.
Authors and Affiliations
Dr. Chethan R. Moogi
Keywords
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