CATARACT SURGERY BY PHACOEMULSIFICATION IN PSEUDOEXFOLIATIVE SYNDROME
Published 2023
- 27th ESCRS Winter Meeting
Reference: O74
| Type: Free Paper Submission
| DOI:
10.82333/x1mj-m572
Authors:
Samia Zamzami* 1
, manal samie 1
, lamie arab 1
1Hospital 20 August 1953-casablanca-morocco,casablanca,Morocco
Purpose
The aim of this work is to study the clinical characteristics as well as the complications related to phacoemulsification cataract surgery in capsular pseudoexfoliation (CPE).
Setting
The pseudoexfoliative syndrome is a general pathology of unknown etiopathogeny. The ocular attacks are multiple. Zonular fragility increases the risk of intraoperative and postoperative complications.
Methods
Retrospective and comparative study from January 2020 to September 2022 concerning patients operated on for cataract by phacoemulsification in our department. The characteristics of the patients in the PEC group (age, sex, general and ophthalmological history), the clinical examinations (visual acuity, dilatation, uni/bilateral, intraocular pressure) preoperatively as well as the intra- and postoperative complications were analyzed and compared to the control group (without PEC).
Results
The two groups consisted of 107 eyes each. The sex ratio of the group (PEC) was 1.36, with a mean age of 72 years. Bilateral forms were predominant in 66.6% of cases. Chronic open-angle glaucoma was associated in 32.7% of cases in the PEC group versus 6.5% of cases in the control group. Poor dilatation was observed in 56% of cases in the CEP group. Phacoemulsification was performed in 100% of cases, conversion to extracapsular extraction was performed in 10 patients with 2 cases of anterior chamber implant and 3 cases of scleral fixation implant for the PEC group. Postoperative corneal edema was more common in the PEC group at 30%. Postoperative visual acuity was slightly better in the control group (94% versus 87% in the PEC group at D 30). The average follow-up was 4 months.
The prevalence of pseudoexfoliative syndrome is variable and increases with age. It is associated with poor pupillary dilatation and zonular fragility. The surgical procedure must be minimally traumatic, and can be assisted by several techniques to limit complications (iris hooks, zonular tension rings). After phacoemulsification, the incidence of corneal edema is higher in the PEC group, with a slower functional recovery.
Conclusion
Pseudoexfoliative syndrome must be sought during the pre-surgical cataract workup. The postoperative outcome in the PEC group is roughly comparable to the outcome in the control group, under optimal management.