الفهرس 
Introduction and the aim of the work
History of the discovery of pseudoexfoliationOnly 14 pages are availabe for public view
 |  | from | 127 |  |  |
| | | from | 127 | | |
Abstract
Pseudoexfoliation syndrome is an age-related disorder that commonly presents with senile cataract. Eyes with PXF are at higher risk of developing glaucoma than in those without. Management of coexisting cataract and glaucoma remained a subject of debate for many years. Some prefer cataract extraction alone due to its proven IOP lowering effect, while others prefer combined cataract extraction and trabeculectomy surgery. Some studies found that such IOP lowering effect of cataract surgery is more pronounced in eyes with PXF than in eyes without PXF.
The main aim of this study was to evaluate the effect of cataract surgery on IOP in eyes with PXF and to compare the magnitude of this effect with aged-matched control group, thus estimating the exact impact and role of cataract surgery alone as an independent line in the management plan of coexisting cataract and glaucoma or cataract and OHT in eyes with PXF.
This study found that cataract surgery significantly reduced IOP at one week, one month and three months post-surgery in eyes with PXF and eyes without PXF. Postoperative IOP level was significantly lower in eyes with PXF than in eyes without PXF at one month and three months postoperatively. The amount of IOP reduction was significantly greater in eyes with PXF than eyes without PXF at one month and three months postoperatively. The IOP reduction percentile was significantly higher in eyes with PXF than eyes without PXF at all follow-up visits.
When comparing PECCE to phacoemulsification, postoperative IOP was significantly lower after PECCE than after phacoemulsification in eyes with PXF only. The amount of IOP reduction was significantly greater after PECCE than after phacoemulsification in eyes with PXF and eyes without PXF only at one month postoperatively. The IOP reduction percentile was significantly greater after PECCE than after phacoemulsification at all follow-up visits in eyes with PXF, but only was significantly greater at one month in eyes without PXF.