Prevalence of pseudoexfoliation syndrome in patients scheduled for cataract surgery in eye camps in Kashmir

Sufi, Aalia Rasool; Mufti, Asmat A; Nazir, Nighat; Qureshi, Tariq; Ramzan, Rahila

doi:10.4103/2320-3897.138855

Cited by 8 publications

(11 citation statements)

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“…They have shown prevalence of PXF in the tune of 26.32%, that is higher than our study. [39] This could be due to high prevalence of cataract in the Kashmiri population and camp-based study in contrast to the present study which is hospital based.…”

Section: Discussioncontrasting

confidence: 70%

“…The frequency of PXF syndrome in our study (22.1%) was higher than that in most other hospital-based studies, namely 7.4% in Lamba and Giridhar,[30] 6% in the 50–60-year-age group in Govetto et al ,[31] 6.45% in Pakistan,[32] 19.53% in Yemen,[33] 11% in Turkey,[34] 3.5% in Riyadh,[35] 1.5%, Northern Nigeria,[36] 4.14% in Upper Egypt,[37] and 1.87% in India[29] and higher in study by Gelaw and Tibebu 35.82%[38] and Sufi et al 26.32%. [39] The study by Lamba and Giridhar have stated prevalence of PXF on OPD basis, while the present study evaluated the frequency of PXF based on patients presenting for cataract surgery.…”

Section: Discussionmentioning

confidence: 99%

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Frequency and surgical difficulties associated with pseudoexfoliation syndrome among Indian rural population scheduled for cataract surgery: Hospital-based data

Joshi

Singanwad

2019

Indian J Ophthalmol

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Purpose: To study the frequency and intraoperative difficulties associated with pseudoexfoliation (PXF) syndrome at a tertiary eye care center in a rural central India. Methods: This study included patients scheduled for cataract surgery who were diagnosed with PXF syndrome. All patients underwent a complete ophthalmologic evaluation, including slit-lamp examination, tonometry, gonioscopy, and ophthalmoscopy before the surgery. Cataract surgeries were performed by a single surgeon who reported the intraoperative difficulties. Results: In total, 1022 phakic eyes of 1823 patients were evaluated, 226 of whom (22.1%) were diagnosed with PXF syndrome. Most eyes ( n = 81, 35.8%) with PXF syndrome were ≥81 years old. Eighty-six eyes (38.1%) had bilateral involvement, whereas 70 (30.9%) had right or left eye involvement. Further, PXF material was distributed on the iris, pupil, and lens in 70 eyes (30.9%) and on the pupillary margin in 36 eyes (15.9%). The mean pupillary dilation was 5.1 (±1.4) mm in patients with PXF syndrome compared with 7.2 (±1.6) mm in those without it ( P = 0.03). Grade VI cataract was observed in 93 eyes (41.2%) and hypermature cataract was the most commonly observed cataract stage. Twenty-one eyes (9.3%) had increased intraocular pressure. Intraoperative difficulties were encountered in 62 eyes (27.4%) with poor pupillary dilation being the most common problem (32 eyes, 14.2%), followed by zonular dehiscence (18 eyes, 8%). Conclusion: This hospital-based study showed that PXF syndrome is common in Indian rural population and that the intraoperative complication rate in these patients is high.

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Section: Discussioncontrasting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Frequency and surgical difficulties associated with pseudoexfoliation syndrome among Indian rural population scheduled for cataract surgery: Hospital-based data

Joshi

Singanwad

2019

Indian J Ophthalmol

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“…Pranathi et al in their study of 52 patients noted 53.8% males and 46.2% females. 9 In this study 14 patients (56%) had bilateral PXF and 9 patients (36%) had unilateral PXF which is similar to the study done by Hegde et al in which 6% patients had bilateral PXF and 36% had unilateral PXF 10 . Clinically, unilateral involvement is often a precursor to bilateral, progression to bilaterality was reported in upto 50% cases within 5 to 10 years after diagnosis.…”

Section: Systemic Associations Seen In Pxf Syndrome Patients-supporting

confidence: 89%

Study of Patients with Pseudoexfoliation Syndrome Undergoing Manual Small Incision Cataract Surgery in a Teaching Hospital

Joshi¹

2020

DJO

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Introduction Pseudoexfoliation (PXF) syndrome is a systemic disorder, diagnosed by the appearance of a grayish white fibrillar material, also called PXF material, in abnormally high concentrations on the pupillary margin (Figure 1), lens surface, lens zonules, iris surface, corneal endothelium, trabecular meshwork, anterior hyaloid surface, intraocular lens (Figure 5) and on the posterior capsule. 1,2 Fontana et al. in their study noted that the amyloid matter of PXF is also present in heart, lungs, liver, kidney, meninges and blood vessels which may explain why patients with ocular PXF may have a history of hypertension, abdominal aorta aneurysm, angina, cardiovascular disease and stroke. 3 The reported prevalence in Indian population is 0.69-3.8%. Stein et al. in his study has mentioned prevalence of PXF in the rural population in central India as 0.95%. 4 Age is the main risk factor for cataract progression, PXF represents an independent additional hazard for the development of nuclear sclerosis. The Framingham Eye study revealed an age related increase among non-glaucoma PXF individuals as 0.6% for ages 52 to 64 years, 2.6% for ages 65 to 74 years that rose to 5.0% for individuals aged 75 to 85 years. 5

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“…Sufi et al showed increased prevalence of PXS in people exposed to outdoor activity. Majority of people in rural Kashmir depend on agriculture as source of income and thus would be exposed to outdoor activities [24]. This supports the association between environmental factors (possibly solar radiation, UV exposure) and PXS as documented by other studies [25], and generally the agricultural life style of the Kurdish and the Arabic people may explain the increased prevalence of the PXS among them, although we were not able to examine this theory, as we did not collect detailed data on sunlight exposure.…”

Section: Discussionmentioning

confidence: 99%

“…It was clear that the association between glaucoma and advancing age was statistically significant (p = 0.001). Although the reason for this age-related increase is unknown, it has been speculated that the changes in gene expression that occur with age may be responsible [24].…”

Section: Discussionmentioning

confidence: 99%

The Prevalence of Glaucoma among Pseudoexfoliation Syndrome Patients

Al-Saffar¹,

Ahmed²

2019

SJMPS

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Introduction: Pseudoexfoliation syndrome is a recognized risk factor for developing glaucoma, cataract and lens dislocation. Pseudoexfoliation syndrome is also associated with increased risk of complications during cataract surgery due to poor mydriasis and zonular weakness. Objective: The aim is to find out the prevalence of glaucoma in Pseudoexfoliation syndrome patients attended to Shaheed Doctor Aso hospital, Sulaimaniya city, Kurdistan region of Iraq and Azadi Teaching Hospital, Kirkuk city-Iraq. Patients and Methods: This cross sectional study encompassed 378 patients (756 eyes) with whom the pseudoexfoliation syndrome was detected as an incidental finding aged 50 years or older. A detailed evaluation including general and ophthalmic history, slit lamp biomicroscopy, intraocular pressure measurement (TOPCON computerized tonometer CT-80 and Goldmann Applanation tonometer), gonioscopy (Goldmann three mirrors goniolens) and dilated eye examination were performed. Oral informed consent was obtained from all participants. Results: Out of the 378 patients who had pseudoexfoliation syndrome, 58 (15.3%) were diagnosed with pseudoexfoliation glaucoma and 34 patients (9%) with ocular hypertension. In the glaucomatous patients, men to women ratio was 2:1, this was statistically significant (p = 0.001). Most of patients in the age group (70-79) years of age, represent 23.3%. Bilateral Pseudoexfoliation syndrome was associated more with pseudoexfoliation glaucoma (58.6%), while unilateral pseudoexfoliation syndrome was associated more with ocular hypertension (64.7%). The Kurdish race patients expressed the highest prevalence of pseudoexfoliation glaucoma and ocular hypertension (31.5%) followed by the Arabic race (20%) and lastly the Turkmen (16%). Conclusion: Pseudoexfoliation syndrome showed to be a significant glaucoma risk factor locally, with a prevalence of (15.3%), and if we added the Ocular hypertension (9%), it will be (24.3%). Recommendation: Patients with Pseudoexfoliation syndrome should be informed and examined at least annually as the risk may be present throughout their life and increasing with age.

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Prevalence of pseudoexfoliation syndrome in patients scheduled for cataract surgery in eye camps in Kashmir

Cited by 8 publications

References 0 publications

Frequency and surgical difficulties associated with pseudoexfoliation syndrome among Indian rural population scheduled for cataract surgery: Hospital-based data

Frequency and surgical difficulties associated with pseudoexfoliation syndrome among Indian rural population scheduled for cataract surgery: Hospital-based data

Study of Patients with Pseudoexfoliation Syndrome Undergoing Manual Small Incision Cataract Surgery in a Teaching Hospital

The Prevalence of Glaucoma among Pseudoexfoliation Syndrome Patients

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