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Systemic Vascular Parameters in Ocular Pseudoexfoliation.

Vaishnavi R Patil1, K Vallabha1, Keerti Wali1

  • 1Ophthalmology, Shri B M Patil Medical College, BLDE, Vijayapura, IND.

Cureus
|July 25, 2024
PubMed
Summary
This summary is machine-generated.

Pseudoexfoliation syndrome (PEX) is linked to higher rates of hypertension and cardiac issues. Comprehensive systemic evaluation is crucial for PEX patients undergoing ocular surgery.

Keywords:
anterior segmentdiabetes and hypertensiondiabetes mellitus in elderlyexfoliation glaucomaophthalmologysenile cataract

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Area of Science:

  • Ophthalmology
  • Cardiology
  • Vascular Medicine

Background:

  • Pseudoexfoliation syndrome (PEX) involves deposition of a dandruff-like substance in the anterior eye structures.
  • PEX is associated with systemic conditions, but these links are not fully established, especially in southern India.
  • Understanding PEX systemic associations is vital for patient management and risk stratification.

Purpose of the Study:

  • To investigate the systemic associations of Pseudoexfoliation syndrome in a southern Indian population.
  • To evaluate the prevalence of hypertension, diabetes, coronary artery disease, and cerebrovascular accidents in PEX patients.
  • To assess intraoperative and postoperative complications in PEX patients undergoing cataract surgery.

Main Methods:

  • A cross-sectional study involving 114 participants with PEX.
  • Systemic evaluation included blood pressure, ECG, lipid profile, blood sugar, and C-reactive protein.
  • Patients underwent small incision cataract surgery with recording of intraoperative and postoperative events.

Main Results:

  • Hypertension (47.4%), diabetes (18.4%), coronary artery disease (7.9%), and cerebrovascular accidents (2.6%) were prevalent.
  • Severe PEX showed significantly elevated systolic (p=0.001) and diastolic blood pressure (p=0.001).
  • Abnormal ECG findings (47.37%) included rate, conduction, ischemic, and structural defects; high rates of intraoperative complications were noted.

Conclusions:

  • PEX patients exhibit significantly elevated markers of systemic vascular disease, including hypertension and cardiac anomalies.
  • A comprehensive systemic evaluation is essential for PEX patients.
  • Careful preoperative assessment is crucial for managing ocular comorbidities and surgical risks in PEX.