Clinical profile of cataract patients with pseudoexfoliation

Abstract

Introduction: Pseudoexfoliation (PEX) syndrome is an idiopathic, generalized disorder that is characterized by the accumulation of fibrillar extracellular material in ocular tissues.1 PEX predisposes to a number of ocular co-morbidities, the most severe being glaucoma.Aims: To study the clinical profile of cataract patients with pseudoexfoliation.Materials and methods: It is Cross sectional observational study in department at tertiary care centre, for a period 24 months. patients who are attending the ophthalmology out patient diagnosed as pseudoexfoliation with cataract who fulfilled the inclusion criteria were included in the study.Results: In this study of clinical profile of cataract patients with pseudo exfoliation have shown incidence in PXF mostly seen in 7thdecade in age group of 61-70years. PXF incidence seen predominantly in male in comparision to female gender. Bilaterality is predominant occurance seen in comparision to unilateral involvement of PXF. Most of eyes have shown IOP in normal range of 14-21 mm of Hg with 27 % of eyes showing raised IOP (more than > 21mm of Hg) . Open angle status was the predominant type in observed eyes in this study followed by occludable angles. In this study only 19% of eyes have shown association with glaucoma, remaining eyes were without gluacoma . Nuclear sclerotic cataract with 63% of eyes was found to be predominant in this study in which 47% were NS Gr 2 to 3 followed by 23% mixed cataract. Conclusion:The earlydetection and effective management can reduce the morbidities associated with pseudoexfoliation.