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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Visual Outcomes and Complications Following Manual Small Incision Cataract Surgery in Patients with Pseudo Exfoliation

S.A. Arsha Ressal, R. Rinita, Biju Gopal, S. Veeralakshmanan, Mathew Tony and Jeyanthi
Page: 242-247 | Received 21 Apr 2024, Published online: 14 Jun 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.7.242.247

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Abstract

Cataract surgery, particularly MSICS, is crucial in resource‐limited settings. Pseudoexfoliation syndrome (PEX) complicates cataract surgery due to zonular weakness and other ocular abnormalities. Understanding the impact of PEX on MSICS outcomes can improve surgical planning and patient care. The study aims to assess postoperative visual acuity, identify intraoperative complications and evaluate postoperative complications in PEX and Non‐PEX patients undergoing MSICS. This observational study included 120 patients scheduled for MSICS. Comprehensive preoperative assessments were conducted. Intraoperative and postoperative complications were recorded and visual acuity was measured at multiple follow‐up points. Data were analyzed using SPSS software, with a p‐value of <0.05 considered statistically significant. The PEX group showed a significantly higher incidence of zonular dialysis (15% vs. 5%, p = 0.045) and posterior capsule rupture (10% vs. 3%, p = 0.039). Vitreous loss was more frequent in the PEX group (8% vs. 2%, p = 0.052). Postoperative visual acuity was consistently lower in the PEX group, but not significantly so (p‐values ranging from 0.059‐0.091). Postoperative complications such as posterior capsular opacification, cystoid macular edema and elevated intraocular pressure were more common in the PEX group, though not statistically significant. MSICS can achieve satisfactory visual outcomes in PEX patients, but the presence of PEX increases the risk of intraoperative and postoperative complications. Meticulous surgical planning and tailored techniques are essential to manage these risks effectively.

How to cite this article:

S.A. Arsha Ressal, R. Rinita, Biju Gopal, S. Veeralakshmanan, Mathew Tony and Jeyanthi . Visual Outcomes and Complications Following Manual Small Incision Cataract Surgery in Patients with Pseudo Exfoliation.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.242.247
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.242.247