Clinical profile of cataract patients with co-existent pseudoexfoliation syndrome

Pseudoexfoliation syndrome (PEX) is a common and clinically important systemic condition characterized by the pathological production and accumulation of an abnormal fibrillar extracellular material in many intraocular and extraocular tissues. Patients with PEX syndrome have a significantly higher risk for a variety of complications during cataract surgery.

To study the clinical profile of cataract patients with co-existent pseudoexfoliation syndrome.

85 patients with Cataract patients diagnosed with pseudoexfoliation on the basis of slit lamp examination. Data includes demographic profile of patient, detailed ophthalmological history and ocular Examination. Visual acuity testing, Slit lamp examination, Gonioscopy, Indirect ophthalmoscopy and Intra Ocular Pressure (IOP) was taken with the help of Schiotz tonometer. Keratometry and A scan was done to calculate IOL power.

Males for.med a majority of cases. Majority of the cases were in their sixth decade. In this PEX material was most commonly deposited on Anterior lens capsule 84.7%. Poor pupillary dilatation (<5mm) was seen in as many as 63% cases. 86% eyes had intra-ocular pressure in the range of 14mmHg-21 mm Hg.

PEX material most commonly deposited on anterior lens capsule. Mixed cataract were more common in pseudoexfoliation syndrome.