SURGICAL OUTCOMES IN PATIENTS WITH PSEUDOEXFOLIATION UNDERGOING SMALL INCISION CATARACT SURGERY

Aim of the study: To study the intraoperative and postoperative complications in patients with Pseudoexfoliation undergoing small incision cataract surgery.

Methods: 50 eyes of 50 patients with Pseudoexfoliation undergoing SICS for senile cataract with Pseudoexfoliation in one or both eyes were included in the study, Study done at a tertiary eye care centre. All patients with glaucoma, including known pseudoexfoliation glaucoma and increased IOP, traumatic cataract, Previous history of trauma, intraocular surgeries, systemic conditions predisposing to subluxation of Lens, Uveitis, Posterior segment pathology were excluded Outcomes including visual acuity and complications if any were noted.

Results: 74% of the population had insufficient pupillary dilatation. 36% had difficulty in capsulorrhexis,16 % had difficulty in nucleus delivery, 22% had zonular dialysis, 18 % had PCR. 8% of the cases were left aphakic

Conclusion:Pseudoexfoliation is associated with significant complications intra and post operatively. Thorough preoperative evaluation and planning with anticipation of these risks during surgery can help us avert these conditions.