Dr.Archana Gunabalan

Dr.Ravali Yenepalli

Abstract

PURPOSE:
TO DISCUSS ABOUT THE SURGICAL COMPLICATIONS OF SICS IN PATIENTS WITH PSEUDOEXFOLIATION
METHODS:
A HOSPITAL BASED PROSPECTIVE STUDY WAS CARRIED OUT WHICH INCLUDED CATARACT PATIENTS WITH PSEUDOEXFOLIATION.ALL OF THEM UNDERWENT SLIT LAMP EVALUATION,GONIOSCOPY,TONOMETRY,DILATED FUNDUS EXAMINATION.PRE-OP WORKUP DONE.PERIBULBAR BLOCK GIVEN.MANUAL SMALL INCISION CATARACT SURGERY WITH PCIOL IMPLANTATION PERFORMED.SURGICAL COMPLICATIONS NOTED DOWN AND ANALYZED.
RESULTS:
INTRAOPERATIVE COMPLICATIONS OBSERVED IN 68% OF THE PATIENTS.INADEQUATE MYDRIASIS IS A MAIN DIFFICULTY SEEN IN 59% OF THE PATIENTS.DIFFICULTY IN NUCLEUS DELIVERY DUE TO POOR MYDRIASIS WAS NOTED.THERE WAS FLOPPY IRIS IN 41% OF PATIENTS.
CONCLUSION:
AN INCREASED RISK OF COMPLICATIONS DUE TO POOR MYDRIASIS WAS OBSERVED IN PSEUDOEXFOLIATION PATIENTS.IT CAN BE MINIMIZED WITH THOROUGH PRE-OP EVALUATION AND WITH TECHNIQUES LIKE SPHINCTERECTOMY,IRIS HOOKS .