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Abstract #10443 Published in IGR 6-1
Endoscopic observation of exfoliation syndrome
Minami M; Adachi Y; Nakamura T; Koike N; Takahashi HJapanese Journal of Clinical Ophthalmology 2004; 58: 199-203
The authors evaluated 212 eyes of 157 patients who underwent cataract surgery, with regard to the presence of pseudoexfoliation syndrome (PXE). The eyes were examined by slit-lamp biomicroscope and endoscopy. The series comprised 73 eyes of 56 males and 139 eyes of 101 females. Their ages averaged 72.6 years. An endoscopic probe was inserted through the corneoscleral wound at the 12 o'clock position just before implantation of the intraocular lens. This was followed by observation of the ciliary body and zonules in the inferior quadrant. PXE was present in five eyes of four cases (2.4%) by slit-lamp and in 66 eyes of 44 cases (21.6%) by endoscopy. The incidence of PXE was low in patients of under 60 years of age, and increased thereafter. In 16 unilateral cases of PXE, intraocular pressure averaged 14.9 ± 0.5 mmHg in the affected eyes and 14.2 ± 0.4 mmHg in the fellow eyes. The difference was significant (p < 0.02). These findings show that the incidence of PXE shown by endoscopy is about nine times that by slit-lamp. Eyes with endoscopically detected PXE may have a risk of glaucoma. LA: Japanese
Dr. M. Minami, Department of Ophthalmology, Showa University Toyosu Hospital, 4-1-18 Toyosu, Koto-ku Tokyo 135-8577, Japan
Classification:
9.4.4.1 Exfoliation syndrome (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)