Akinci Arsen, Batman Cosar, Zilelioglu Orhan
Ulucanlar Eye Hospital, Ankara, Turkey.
Ophthalmologica. 2008;222(2):112-6. doi: 10.1159/000112628. Epub 2008 Feb 22.
To compare the incidence of intraoperative and early postoperative complications (IEPC), visual outcomes, and change in intraocular pressure (IOP) between eyes with and without pseudoexfoliation syndrome (PEX) having cataract extraction by phacoemulsification.
800 eyes with PEX and 1,600 eyes without PEX having cataract extraction by phacoemulsification were included in this retrospective study. Evaluated parameters were incidence of IEPC, visual outcomes and change in IOP. chi2 and Student's t test were used for statistical analysis.
There were no significant differences in the incidence of IEPC and visual acuity gain between the two groups (p > 0.05). Rise in IOP in the early postoperative period was significantly higher in the PEX group (p < 0.02).
Patients with PEX who have phacoemulsification can achieve results similar to patients without PEX. IOP control in the early postoperative period seems to be more important in patients with PEX.
比较行超声乳化白内障摘除术的有和无假性剥脱综合征（PEX）的患眼术中及术后早期并发症（IEPC）的发生率、视力结果以及眼压（IOP）变化。
本回顾性研究纳入了800例有PEX且行超声乳化白内障摘除术的患眼和1600例无PEX且行超声乳化白内障摘除术的患眼。评估参数为IEPC的发生率、视力结果和IOP变化。采用卡方检验和学生t检验进行统计分析。
两组间IEPC的发生率和视力提高情况无显著差异（p>0.05）。PEX组术后早期IOP升高明显更高（p<0.02）。
行超声乳化白内障摘除术的PEX患者可获得与无PEX患者相似的结果。术后早期的IOP控制对PEX患者似乎更为重要。
