[Exfoliative syndrome and cataract surgery].
In the present prospective study, we compared the results of cataract surgery in two groups with or without exfoliation syndrome; 210 eyes were studied. The preoperative pupillary dilatation was smaller in the group with exfoliation syndrome (SE). We noticed a higher incidence of complications during planned extracapsular cataract extraction in patients with SE. A pupillary diameter smaller than 6 mm increases the incidence of capsulozonular rupture (22.5%) in these patients. After surgery, an inflammatory reaction and a transient increase in intraocular pressure were more frequent and the visual results were less favourable in the group with SE. The exfoliation syndrome is a major risk factor for cataract surgery. We recommend extracapsular extraction associated with a sector iridectomy when the pupillary diameter measures less than 6 mm.
Pouliquen
P
P
Service d'Ophtalmologie, C.H.U. Morvan, Brest.
Robinet
A
A
Colin
J
J
Cochener
B
B
Charpentier
D
D
D000368:Aged; D000869:Anterior Eye Segment / Q000601:surgery; D002387:Cataract Extraction / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005901:Glaucoma / Q000601:surgery; D006801:Humans; D007432:Intraoperative Period; D007910:Lenses, Intraocular / Q000009:adverse effects; D008297:Male; D011184:Postoperative Period; D011446:Prospective Studies; D011680:Pupil; D012307:Risk Factors; D013577:Syndrome
Syndrome exfoliatif et chirurgie de la cataracte.