alexa Cataract Surgery in Eyes with Pseudoexfoliation (PEX) Syndrome | OMICS International | Abstract
ISSN: 2155-9570

Journal of Clinical & Experimental Ophthalmology
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Review Article

Cataract Surgery in Eyes with Pseudoexfoliation (PEX) Syndrome

Snježana Kaštelan1*, Martina Tomić2, Rajko Kordić3, Miro Kalauz3 and Jasminka Salopek-Rabatić1
1Department of Ophthalmology, Clinical Hospital Dubrava, Zagreb, Croatia
2Department of Diabetic Complications, Division of Ophthalmology, Vuk Vrhovac University Clinic, Clinical Hospital Merkur, Zagreb, Croatia
3Eye Clinic, University Hospital Center Zagreb, Zagreb, Croatia
Corresponding Author : S. Kaštelan
Department of Ophthalmology
Clinical Hospital Dubrava
Avenija Gojka Šuška 6
10000 Zagreb, Croatia
Tel: +385-1-290-3396, +385-99-7320-705
Fax: +385-1-290-3396
E-mail: [email protected]
Received December 18, 2012; Accepted March 08, 2013; Published March 14, 2013
Citation: Kaštelan S, Tomic M, Kordic R, Kalauz M, Salopek-Rabatic J (2013) Cataract Surgery in Eyes with Pseudoexfoliation (PEX) Syndrome. J Clinic Experiment Ophthalmol S1:009. doi:10.4172/2155-9570-S1-009
Copyright: © 2013 Kaštelan S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Pseudoexfoliation (PEX) syndrome is a common age-related systemic disorder characterized by a huge production and deposition of fibrillogranular amyloid-like extracellular material within many ocular tissues. Pseudoexfoliation is a risk factor for glaucoma and also correlated to an increased incidence of cataract formation. Cataract surgery in eyes with pseudoexfoliation is connected with many complications and presents challenges that require careful preoperative planning and intraoperative care to ensure safe surgery and successful postoperative outcome. Zonular weakness and poor pupillary dilation are two major risk factors for surgical complications and poor visual acuity after surgery. With proper preparation and use of specialized adjunctive devices, phacoemulsification (PHACO) is the preferred procedure of cataract extraction in this group of patients. Postoperatively pseudoexfoliation patients require frequent and detailed follow-up to monitor for complications such as intraocular pressure rise, inflammation and intraocular lens dislocation. In conclusion, with appropriate preoperative, intraoperative and postoperative care the risks of complications can be minimized and favourable outcomes can be achieved in cataract surgery in eyes with pseudoexfoliation syndrome.

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