The effect of phacoemulsification on the intraocular pressure, anterior chamber and pupildiameter in patients with pseudoexfoliation syndrome

Aims: To evaluate the effect of phacoemulsification on the intraocular pressure, anterior chamber and pupil diameter in patients with pseudoexfoliation syndrome. Methods: 66 eyes of thirty-three patients who had pseudoexfoliation and underwent phacoemulsification enrolled in this retrospective study. The eyes divided two groups as a study group that with Pseudoexfoliation Syndrome (PES) or Pseudoexfoliation (PEX) glaucoma and the other eyes as a control group without PES or PEX glaucoma. The follow-up examinations were preoperatively and postoperatively on the first day, fourth day, first month, and three months. Best-Corrected Visual Acuity (BCVA), Intraocular Pressure (IOP), Anterior Chamber Depth (ACD) and Pupil Diameter (PD) were evaluated at each visit, and glaucoma medications were noted. Results: There was no statistically significant difference when compared preoperative and postoperative IOP values on the first day between two groups (p>0.05). The mean IOP postoperatively at 4th, 30th day and 3rd months, reduced according to preoperative values in the study group (P<0.05). Mean anterior chamber depth and pupil diameter were increased significantly at the final visit (p<0.001). Conclusion: Cataract surgery has a beneficial effect on patients with PEX including IOP, ACD and PD.