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Year : 2018  |  Volume : 30  |  Issue : 2  |  Page : 112-116

Gonioscopic features of pseudoexfoliation syndrome and its relation with glaucoma

Department of Ophthalmology, Government Medical College, Kottayam, Kerala, India

Correspondence Address:
Ebitha Kalarikkal Elias
Kurikkattayil, Muttambalam Po, Kottayam, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/kjo.kjo_52_18

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Aim: The aim is to determine the gonioscopic features of pseudoexfoliation (PXF) and to study its relation with glaucoma as measured by intraocular pressure (IOP) and optic nerve head changes. Materials and Methods: A cross-sectional study was conducted among forty eyes with PXF at a tertiary care center in South India from March 2016 to March 2017. Corrected IOP based on central corneal thickness was recorded and gonioscopic examination was done to grade angle, detect PXF deposits in angle and grade trabecular meshwork and sampaolesi line (SL). Eyes were dilated for glaucomatous optic disc change and optical coherence tomography was done to record retinal nerve fiber layer thickness. Data were entered in Microsoft Excel and frequency of different variables was calculated. Statistical analysis was done using Chi-square test and t-test as applicable. Results: Thirteen eyes had Grade 4 pigmentation, of which seven eyes had high IOP and ten had disc damage. Seven eyes had PXF in angle with glaucomatous change in four eyes. Two eyes had occludable angle with both eyes having glaucomatous change. SL was seen in 15 eyes. Conclusion: Pigmentation of trabecular meshwork, pseudoexfoliation deposits in angle and occludable angle in gonioscopy have positive correlation with high IOP and degree of glaucomatous disc damage. This study proves the significance of gonioscopy in PXF.

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