Indian Journal of Clinical and Experimental Ophthalmology


Association of spheroidal degeneration in pseudoexfoliation cases


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Article Type : Research Article

Author Details: H Mohan Kumar,M Madhumita*

Volume : 5

Issue : 2

Online ISSN : 2395-1451

Print ISSN : 2395-1443

Article First Page : 186

Article End Page : 189


Abstract

Purpose: To correlate the association of pseudoexfoliation with spheroidal degeneration, and to identify the type and stage of spheroidal degeneration in pseudoexfoliation patients.
Material and Methods: Total of 64 patients between the age group of 40 to 70 years, attending Ophthalmology out-patient department were included in this study. After taking informed consent, demographic details and detailed history were taken from these patients. Comprehensive ophthalmic examination, which included visual assessment by Snellens chart and anterior segment evaluation by slit lamp examination was done.
Results: A total of 64 patients (41 male and 23 female), in the age group between 40 and 70years, with pseudoexfoliation were included. Out of the 64patientswith pseudoexfoliation who were screened in our outpatient department, 44(68.75%) patients were diagnosed to havespheroidal degeneration. Among these 28(43.75%) patients were having stage 1, 7(10.93%) patients were having stage 2, 5(7.81%) patients had stage 3 and, 4(6.25%) patients had stage 4 spheroidal degeneration.
Conclusion: Pseudoexfoliation cases have higher incidence of spheroidal degeneration association as compared to general population. It was also observed that droplet type (stage 1) of spheroidal degeneration was commonly seen in pseudoexfoliation cases, and the pupillary margin was the common site for pseudoexfoliation material deposition in most of the cases. This poses challenges to measure intraocular pressure effectively, as well as increase the chances of complications when intraocular procedures are done even with experienced hands.

Keywords: Cataract, Droplet type, Exfoliation material, Pseudoexfoliation, Phacodonesis, Spheroidal degeneration.

Doi :-https://doi.org/10.18231/j.ijceo.2019.044