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Prevalence of cataract complications in patients with pseudoexfoliation syndrome in Northwestern Spain.
Vazquez-Ferreiro, Pedro; Carrera-Hueso, Francisco J; Barreiro-Rodriguez, Lidia; Diaz-Rey, Marta; Jornet, Jaime E Poquet.
Afiliação
  • Vazquez-Ferreiro P; Ophthalmologic Department, Hospital Virxen da Xunqueira, Cee, A Coruña, Spain.
  • Carrera-Hueso FJ; Pharmacy Program, University of Granada, Spain.
  • Barreiro-Rodriguez L; Pharmacy Service, Hospital Dr Moliner, Valencia, Spain.
  • Diaz-Rey M; Ophthalmologic Department, Hospital Virxen da Xunqueira, Cee, A Coruña, Spain.
  • Jornet JEP; Ophthalmologic Department, Hospital Virxen da Xunqueira, Cee, A Coruña, Spain.
Arq Bras Oftalmol ; 82(6): 495-500, 2019.
Article em En | MEDLINE | ID: mdl-31531545
PURPOSE: To assess the relationship between pseudoexfoliation syndrome and incidence of complications and related clinical factors in patients undergoing cataract surgery. METHODS: We conducted a retrospective cohort study of 503 of 551 patients who underwent phacoemulsification surgery over 2 years in a health care district in Northwest Spain. In total, 120 of 681 eyes undergoing the procedure had pseudoexfoliation syndrome. Data on the surgical procedure and associated complications were extracted from the medical record. Complications included any combination of posterior capsular rupture, vitreous loss, zonular dialysis, and nuclear or lens luxation. RESULTS: We found a significant association between pseudoexfoliation syndrome and zonular dialysis (odds ratio [OR], 6.89; 95% CI, 2.27-20.93), intraoperative miosis (OR, 2.15; 95% CI, 1.10-4.22), and lens luxation >1.5 mm (OR, 9.49; 95% CI, 0.85-105.54). However, when adjusting for the overall risk of complications in pseudoexfoliation syndrome patients in consideration of myopia, use of anticoagulants or α-agonists, previous mydriasis, and anterior chamber length, the OR decreased to 1.02 (95% CI, 0.47-2.21) and was therefore not significant. CONCLUSION: Zonular dialysis and intraoperative miosis were intraoperative complications in cataract surgery patients with pseudoexfoliation syndrome when compared to controls.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Catarata / Síndrome de Exfoliação / Facoemulsificação / Complicações Intraoperatórias Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Aged80 / Female / Humans / Male País/Região como assunto: Europa Idioma: En Revista: Arq Bras Oftalmol Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Espanha País de publicação: Brasil
Texto completo
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XML
PubMed Links
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Catarata / Síndrome de Exfoliação / Facoemulsificação / Complicações Intraoperatórias Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Aged80 / Female / Humans / Male País/Região como assunto: Europa Idioma: En Revista: Arq Bras Oftalmol Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Espanha País de publicação: Brasil