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Phacoemulsification in eyes with pseudoexfoliation
L Drolsum1, E Haaskjold, K Sandvig
1Department of Ophthalmology, National Hospital, Oslo, Norway.
Journal of Cataract and Refractive Surgery
|June 27, 1998
Summary
Phacoemulsification cataract surgery is safe for eyes with pseudoexfoliation, though intraoperative complications are more frequent. Postoperative inflammation risk is not significantly increased in these patients.
Area of Science:
- Ophthalmology
- Surgical Outcomes
- Cataract Surgery
Background:
- Pseudoexfoliation syndrome is a condition affecting the eye's lens capsule and zonules.
- Cataract surgery, particularly phacoemulsification, is a common procedure to restore vision.
Purpose of the Study:
- To compare intraoperative and postoperative complications in patients undergoing phacoemulsification for cataract surgery.
- To assess the safety and outcomes of phacoemulsification in eyes with and without pseudoexfoliation.
Main Methods:
- A prospective study of 1152 consecutive phacoemulsification procedures.
- Patients were divided into two groups: 164 with pseudoexfoliation and 916 without.
- Follow-up was conducted for 4 months post-surgery.
Main Results:
- Intraoperative complications (capsular/zonular tear or vitreous loss) were significantly higher in the pseudoexfoliation group (9.6% vs. 3.7%).
- Achieved visual acuity of 0.5 or better was slightly lower in the pseudoexfoliation group (86.5% vs. 92.4%).
- No significant differences in postoperative inflammatory response were observed between groups at 1 day, 1 week, or 4 months.
Conclusions:
- Phacoemulsification is a safe surgical option for most eyes with pseudoexfoliation.
- While intraoperative risks are elevated, the long-term risk of inflammation is not significantly increased by pseudoexfoliation.