ArticleIndian journal of ophthalmology2025
A study on the association of A-scan parameters and intraoperative complications during cataract surgery in eyes with pseudoexfoliation syndrome.
Article in Indian journal of ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
contextPseudoexfoliation is a genetically determined condition that causes significant problems during cataract surgery. Although most patients with pseudoexfoliation experience uneventful cataract surgery, complications, when they arise, can be particularly challenging. Therefore, it is crucial to identify those at risk for intraoperative complications during the preoperative assessment. PURPOSE: To study the association of preoperative A-scan parameters with intraoperative complications of phacoemulsification in eyes with pseudoexfoliation syndrome. SETTING AND
designThis was a retrospective study conducted in a tertiary care center in the private sector in South India.
methodsA retrospective study of 200 eyes of 184 patients with pseudoexfoliation syndrome, who underwent phacoemulsification. Preoperative A-scan measurements (IOLMaster700), best-corrected visual acuity, lens status, and pupil sizes were noted. Intraoperative complications were correlated with A-scan parameters. STATISTICAL ANALYSIS: SPSS 26.0 software.
resultsOut of 200 study eyes, 34 eyes (17%) had intraoperative complications. Eyes with less anterior chamber (AC) depth (2.74 ± 0.758 mm) or more lens thickness (4.81 ± 0.565 mm) had a significant association (P < 0.05) with intraoperative complications. There was a 36.8% risk for complications in eyes with <2.5 mm AC depth. Eyes with an increased ratio of axial length to AC depth (8.67 ± 1.517) had more chance of complications.
conclusionsCaution should be taken in pseudoexfoliation syndrome patients with shallow AC or thick lenses as there is more risk for complications during cataract surgery.
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