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Abstract #9853 Published in IGR 5-3
Pseudoexfoliation in South India
Arvind H; Raju P; Paul PG; Baskaran M; Ve Ramesh S; George RJ; McCarty C; Vijaya LBritish Journal of Ophthalmology 2003; 87: 1321-1323
AIM: To study the profile of pseudoexfoliation in a population based study. METHOD: Twenty-eight hundred and fifty consecutive subjects aged 40 years or older from a population based survey in a rural area of southern India underwent complete ophthalmic evaluation including history, visual acuity testing, refraction, slit lamp examination, applanation tonometry, gonioscopy, and dilated examination of the lens (including LOCS II grading of cataract), fundus, and optic disc. Patients with pseudoexfoliation syndrome were identified and their data were analysed with respect to age, sex, intraocular pressure (IOP), gonioscopic grading, cataract, and optic neuropathy. RESULTS: One hundred and eight subjects had pseudoexfoliation syndrome (3.8%). There was a significant increase in prevalence with age but no sex predilection. The condition was unilateral in 53 cases (49.1%) and bilateral in 55 cases (50.9%). Eighteen cases with pseudoexfoliation (16.7%) had high IOP (>21 mmHg), 16 (14.8%) had occludable angles, and 14 (13%) pseudoexfoliation glaucoma. There was a significantly higher prevalence of cataract among persons with pseudoexfoliation compared to those without pseudoexfoliation (p = 0.014). CONCLUSIONS: The prevalence of pseudoexfoliation syndrome in the rural population of south India was 3.8%. Raised IOP was seen in 16.7% of people with pseudoexfoliation and glaucoma was present in 13%.
Dr. H. Arvind, Sankara Nethralaya, Medical and Vision Research, 18 College Road, Chennai, TN, 600006, India
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)
