CORNEAL ALTERATION IN EYES WITH PSEUDOEXFOLIATION SYNDROME.
- Postgraduate Scholar, Department of ophthalmology government medical college, srinagar.
- Professor and Head, Department of ophthalmology government medical college, srinagar.
- Registrar, Department of ophthalmology government medical college, srinagar.
- Fellow, Department of ophthalmology government medical college, srinagar.
40 Downloads
132 Views
Abstract
Background: Pseudoexfoliation syndrome (PXS) is an age-related systemic microfibrillopathy, caused by gradual deposition of extracellular grey and white material over various tissues .In pseudoexfoliation eyes, corneal endothelial changes are noted.Objective of Our study was to find corneal alterations among patients of Pseudoexfoliation syndrome of Kashmir region.
Material And Methods:After obtaining the ethical clearance from the institutional ethical committee,150 patients withPseudoexfoliation were included in our Descriptive(Observational )study. Thorough ocular evaluation was done and corneal changes were noted including corneal endothelial cell density and Central corneal thickness using NON CONTACT specular microscope .Appropriate statistical tests were used for analyzing data.
Results:Pseudoexfoliation was predominantly seen in males . Mean Central corneal thickness in Pseudoexfoliation with glaucoma eyes was(509.6+13.73μ) which was lower when compared with mean central corneal thickness in Pseudoexfoliation without glaucoma eyes (523.5+17.15 μ). The results when statistically analyzed were found to be significant. Also corneal endothelial cell density (2304 303 cells / mm2) was lower in pseudoexfoliative eyes. Percentage of Hexagonal cells was 48.0 9.8 (%) and the CV was 38.3 5.8 showing polymegathism and pleomorphism in these cells
Conclusion: Qualitative and Quantitative modifications in endothelial cells of eyes with PEX, particularly when IOP is high which may increase the risk of corneal decompensation after intraocular surgeries. In patients with PXG,evaluation of Corneal endothelial cell density and central corneal thickness should be done as the risk of underestimation of intra ocular pressure is high.
Keywords
Article Analytics
References
- Akdemir MO,?Kirgiz A,?Ayar O,?Kaldirim H,?Mert M,?Cabuk KS,?Taskapili M. The Effect of Pseudoexfoliation and Pseudoexfoliation Induced Dry Eye on Central Corneal Thickness. Curr Eye Res.2016;41(3):305-10.
2.?????? Bożydar T. Tomaszewski,?Renata Zalewska,?and?Zofia Mariak. Evaluation?????? of the Endothelial Cell Density and the Central Corneal Thickness in Pseudoexfoliation Syndrome and Pseudoexfoliation Glaucoma.J Ophthalmol. 2014; 2014: 123683
- De Juan-Marcosa L, Cabrillo-Est?veza L, Escudero-Dom?ngueza?FA, S?nchez-Jaraa A, Hern?ndez-Galilea E. Morphometric changes of corneal endothelial cells in pseudoexfoliation syndrome and pseudoexfoliation glaucoma. Arch SocEspOftalmol 2013; 88(11):439?44.
- Chandra Kanth , Dr. SfoortiGoswami , Dr. Visalakshi Subramanian , Dr. SudhaJeyaram , Dr. NaishadhJivrajani , Dr. Vijay BhaskarGajjala. Association of Pseudoexfoliation (PXF) with Glaucoma and Climate Droplet Keratopathy (CDK . IOSR Journal of Dental and Medical Sciences.Volume 15, Issue 9 Ver. VIII (September). 2016), PP 31-33
- Forsius H, Forsman E et al. Exfoliation syndrome: Frequency, gender distribution and association with climatically induced alterations of the cornea and conjunctiva ActaOphthalmologicaScandinavica 2002 Oct; 80(5): 465.
- Forsius H. Exfoliation syndrome in various ethnic populations. ActaOphthalmol Suppl. 1988; 184: 71-85.
- Forsius H. Prevalence of pseudoexfoliation of the lens in Finnes, Lapps, Icelanders, Eskimos and Russians. Trans OphthalmolSoc UK 1979; 99: 296-298.
8.?????? Georgios K, Christos G et al. Central corneal thickness in subjects with glaucoma and in normal individuals (with or without pseudoexfoliation syndrome). Clinical Ophthalmology. 2009; 1: 537-542.
- Inoue K, Okugawa K, Oshika T, Amano S. Morphological study of corneal endothelium and corneal thickness in pseudoexfoliation syndrome. Jpn J Ophthalmol 2003;47(3):235?9.
- Knorr HL, J?nemann A, H?ndel A, Naumann GO. Morphometric and qualitative changes in corneal endothelium in pseudoexfoliation syndrome. FortschrOphthalmol 1991;88(6):786?9.
- Kozobolis VP, Detorakis et al. Evaluation of tear secretion and tear film stability in pseudoexfoliation syndrome. ActaOphthalmolScand 1999 Aug; 77(4): 406-9.
- Lindberg TG. Clinical investigations on depigmentation of the pupillary border and translucency of the iris in cases of senile cataract and in normal eyes in elderly persons. Academic dissertation Helsinki 1917. Arch Ophthalmol 1989; 66 (Suppl 190): Helsinki University Press.
- Miyake K, Matsuda M, Inaba M. Corneal endothelial changes in pseudoexfoliation syndrome. Am J Ophthalmol 1989;108:49?52.
- Mohammad Ali Zare, GhasemFakhraie ,FahimehAsadiAmoli, Ali Abdollahi, Hadi Z-Mehrjardi. Central Corneal Thickness, Corneal Endothelial Cell Density, and Lens Capsule Thickness in Normotensive Patients with and without Pseudoexfoliation Syndrome. Iranian Journal of Ophthalmology Volume 24 / Number 2 / 2012
- Quiroga L, Lansingh VC, Samudio M, Pena FY, Cater MJ. Characteristics of the corneal endothelium and pseudoexfoliation syndrome in patients with senile cataract. ClinExpOphthalmol 2010; 38:449-455.
- Rashid W, Rather S, Singh T. Profile of patients of glaucoma in Kashmir valley: a hospital based study. JK Science July-September 2010; Vol. 12, No. 3.
- Resnikoff S, Filliard G. Climatic droplet keratopathy, exfoliation syndrome and cataract. Br J Ophthalmol. 1991; 75: 734-6.
- Ringvold A. Epidemiology of the pseudoexfoliative syndrome. ActaOphthalmolScand 1999; 77: 371-375.
- Ritch R and SchlotzerScherhardt U. Exfoliation syndrome. SurvOphthalmol 2001a; 45: 265-315.
- SarojSarowa ,JaishriMurliManoher , Kalpana Jain , YaminiSinghal, Deepak Devathia . Qualitative and quantitative changes of corneal endothelial cells and central corneal thickness in pseudoexfoliation syndrome and pseudoexfoliation glaucoma. International Journal of Medical Science and Public Health | 2016 | Vol 5 | Issue 12
- Seitz B, Muller EE, Langenbucher A, Kus MM, Naumann GOH. Endothelial keratopathy in pseudoexfoliation syndrome: Quantitative and qualitative morphometry using automated video image analysis. KlinMonatsblAugenheilkd 1995;207(3):167?75.
- Upender K Wali,?Abdullah S Al-Mujaini,?Nadia S Al-Kharusi,Alexander A Bialasiewicz,?and?Syed G Rizvi.Quantitative and Qualitative Corneal Endothelial Morphology of Omani Patients with PseudoexfoliationSyndrome.SultanQaboosUniv Med J. 2008 Nov; 8(3): 300?305.
- Vassilios?P.?Kozobolis,Emmanouil?V.?Christodoulakis,Irene?I.?Naoumidi,Charalambo s?S.?Sigano,.Efstathios?T.?Detorakis,loannis?G.?Pallikaris.Study of conjunctival goblet cell morphology and tear film stability in pseudoexfoliationsyndrome.Graefe's Archive for Clinical and Experimental Ophthalmology.June 2004,?Volume 242,?Issue?6,?pp 478?483
- Vijaya L et al. Central corneal thickness in adult south Indians. Chennai Glaucoma Study. 2010 Jan; 30-35.
- Wang M, Sun W, Ying L. Corneal endothelial cell density and morphology in Chinese patients with pseudoexfoliation syndr Int J Ophthalmol 2012;5(2):186?9.
How to Cite This Article
Tania Sadiq , Syed Tariq Qureshi , Arshi Nazir and Anshulee Sood. (2018); CORNEAL ALTERATION IN EYES WITH PSEUDOEXFOLIATION SYNDROME., Int. J. of Adv. Res., 6 (09), 979-984, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/7759
Corresponding Author
This work is licensed under a Creative Commons Attribution 4.0 International License.





