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Ophthalmol Case Rep 2017 Volume 1 Issue 1

August 21-23, 2017 | Toronto, Canada

EYE AND VISION

3

rd

International Conference on

Background:

Pseudoexfoliation syndrome (PXF) is a well-

known clinical condition associated with cataract and the

more serious blinding secondary open angle glaucoma that

lead silently if unilateral or asymmetrical to irreversible loss

of vision as the condition will not be diagnosed and treated

early, so our objective is to estimate the size of the problem

so we can plan to overcome the serious blinding outcome in

the future.

Study Design & Test Sample

: Descriptive cross-sectional

study of partially random sample.

Aim & Objectives

: To assess the clinical condition frequency

and associated complications as cataract and glaucoma

(PXG).

Subjects & Methods

: 252 patients of partially selected

elderly Kurds aged 55 years or above those who visited also

eye hospital for any reason, were selected and were enrolled,

128 females and 124 male patients in the survey. Full slit

lamp examination, visual acuity, refraction, fundoscopy

and intraocular pressure measurement by applanation

tonometer were done to the patients.

Results

: Of total 252 patients examined, we report 73

patients (146 eyes) have the syndrome; this represents a

frequency or relative prevalence of about 29%. 30 (44%)

are females and 43 (56%) are males, so female to male

ratio was about 2:3, of the affected 73 patients, 56 (76.7%)

patients have the disease in both eyes (112 eyes) and 17

(23%) patients (34 eyes) of them was affected in one eye,

of those affected 73 patients, 60 (82.2%) patient aged 65

years or above, 67 (91.7%) of them were moderate to heavy

smokers. 15 patients (20.5 %) have glaucoma and only 3

know that and already on anti-glaucoma therapy, 12 patients

(80%) have glaucoma in one eye with variable loss of visual

acuity and visual field and discovered for first time. Of the

affected 73 patients, 60 patients (82.2%) have visual acuity

equal or less than 3/60 at least in one eye of variable causes

which regarded as legally blind. All 73 patients have cataract

of variable maturity, 30 patients (60 eyes) bilaterally and 43

patients unilaterally (43 eyes), for 3 patient’s surgeries were

done and the remaining 70 patients have variable cataract at

least in one eye and they are candidates for surgery.

Conclusion

: The syndrome is present in high percentage in

elderly population, increasing with age and it is a bilateral

disease although asymmetrical, it is associated with

significant decrease in visual acuity by cataract formation or

by glaucoma or both, treatment must be given early before

permanent damage to the optic nerve.

Speaker Biography

Ali A Taqi has completed his graduation from Baghdad University Medical College

in 1990, he got his Diploma in Ophthalmology in the year 1998 and his Arab Board

Fellowship in the year 2002. He works as an Ophthalmologist since 1998 and as

Senior Ophthalmologist and a Medical School Teacher since 2005. In the year 2008,

he has prepared the SHO education guidelines in Ophthalmology and he did his Post-

graduate high Diploma/Master study in the year 2007. He has supervised many of the

researches in his field.

e:

ali.taqi@univsul.edu.iq

A clinical survey of pseudoexfoliation syndrome in Sulaimaniya city- Kurdistan Iraq

Ali A Taqi

University of Sulaimani, Iraq