Anterior Segment Optical Coherence Tomography Of Anterior Lens Capsule in Pseudo-Exfoliation Syndrome

Farag, Alshimaa Ahmed; Elhatew, Mohamed Hany; Fayed, Ayser Abdel-Hameed; Shebl, Ahmed Adel

doi:10.21608/bmfj.2023.212748.1825

	Anterior Segment Optical Coherence Tomography Of Anterior Lens Capsule in Pseudo-Exfoliation Syndrome
Benha Medical Journal
Article 10, Volume 40, Special issue (ophthalmology), November and December 2023, Page 106-116 PDF (958.34 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2023.212748.1825
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Authors
Alshimaa Ahmed Farag ¹; Mohamed Hany Elhatew²; Ayser Abdel-Hameed Fayed³; Ahmed Adel Shebl⁴
¹department of ophthalmology, Benha university, Benha, Qalyoubia
²department of ophthalmology, Faculty of medicine, Benha university, Benha, Qalubia
³Department of opthalmology, Faculty of medicine Benha university
⁴Deparment of ophthalmology, Benha university, Benha, Qalubia
Abstract
Background: A prevalent age-related systemic condition called pseudo-exfoliation syndrome (PEX) has severe ocular symptoms like glaucoma and cataracts, Aim: In this study, People with pseudo-exfoliation syndrome (PEX), anterior segment optical coherence tomography (AS-OCT) was utilized to evaluate the anatomical features of the anterior lens capsule and iris. Patients and Methods: This study was designed as a case-control study at Benha University Hospital, using 20 eyes from 18 patients—2 patients with bilateral PEX and 16 patients with unilateral PEX—and 10 eyes from the normal control group. Results: The parameters between the new PEX group and the control group were examined and compared using patients with pupillary diameters ranging from 5.5 to 7 mm. Iris thickness (central, ciliary, and pupillary) was considerably lower in the PEX group. Compared to the control group, BCVA was significantly lower in the PEX group. Conclusion: Our study revealed significant increase thickness of central ALC in PEX group by 11% when compared to control group. Iris thickness (mid-peripheral iris stromal thickness, iris thickness at the papillary border, iris thickness at the ciliary border) all decreased (by 25%, 37%, 39%) in PEX group when compared to the control group. Iris thickness may be assessed before and after dilatation for more accurate evaluation of iris thickness of PEX.
Keywords
Anterior Segment; Optical Coherence Tomography; Lens Capsule; Pseudo-Exfoliation Syndrome


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