[Glaucoma in lens capsule pseudoexfoliation syndrome]

Area of Science:

• Ophthalmology
• Glaucoma Research
• Ocular Syndromes

Context:

• Pseudoexfoliation of the lens capsule syndrome is associated with open-angle glaucoma.
• A cohort of 27 patients (39 eyes) with this condition were treated between 1979-1989.
• Pigmentary changes in the corneo-scleral angle and lens opacification were common findings.

Purpose:

• To evaluate the efficacy of different treatment modalities for glaucoma in patients with pseudoexfoliation syndrome.
• To analyze the visual function outcomes in this patient group.

Summary:

• Conservative anti-glaucomatous treatments were largely ineffective, succeeding in only 2 patients.
• Laser trabeculoplasty controlled intraocular pressure (IOP) in 5 eyes.
• Elliot-Fronimopoulos goniotrepanation achieved IOP control in 23 eyes.
• The study discusses visual function impairment in pseudoexfoliation glaucoma.

Impact:

• Highlights the limited success of conservative treatments for pseudoexfoliation glaucoma.
• Demonstrates the effectiveness of surgical interventions (laser trabeculoplasty, goniotrepanation) in managing IOP.
• Underscores the importance of addressing visual function deficits in this syndrome.