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M Hyams, M Herskovitz, N Mathalone, Y Hod, O Geyer; Phacoemulsification in Patients With Pseudoexfoliation . Invest. Ophthalmol. Vis. Sci. 2002;43(13):366.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To evaluate intraoperative complications related to pseudoexfoliation in eyes undergoing cataract extraction by phacoemulsification. Methods: The records of 1150 patients (1250 eyes) who underwent phacoemulsification were reviewed, including 109 eyes with pseudoexfoliation (PXF group) and 1141 eyes without this condition (control group). The T-test and Chi-squared tests were used to compare the incidence of intraoperative complications in the two groups, with particular reference to zonulysis, anterior vitrectomy, posterior capsule tears and insertion of the IOL into the sulcus or anterior chamber. Results: Zonulysis occurred in 3 patients (2.8%) with psedoexfoliation and in 11 patients (1%) in the control group (p≷0.05). Anterior vitrectomy was preformed in one eye (0.9%) and in 19 eyes (1.7%) in the PXF and control groups, respectively (p≷0.05). Posterior capsule tear occurred in 4 eyes (4.4%) and in 31 eyes (2.7%) in the PXF and control groups, respectively (p≷0.05). The IOL was inserted into the sulcus or anterior chamber in 6 eyes (5.5%) and 48 eyes (4.2)% in the PXF and control groups, respectively (p≷0.05). There was no statistical difference in the incidence of intraoperative complications in eyes with pseudoexfoliation and in the control group. Conclusion: Pseudoexfoliation is not a risk factor with regard to intraoperative complications during cataract extraction by phacoemulsification.
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