Anterior Chamber angle in Exfoliation syndrome: A single institutional observational study

Dr Surraya Ismail Parray; Dr Junaid S Wani

Volume : VIII, Issue : IV, April - 2019

Anterior Chamber angle in Exfoliation syndrome: A single institutional observational study

Dr Surraya Ismail Parray, Dr Junaid S Wani

Abstract :

Introduction: Exfoliation syndrome (ES) is associated with a variety of findings in the angle of the anteriorchamber of the eyes. We undertook the present study to record such findings with the help of gonioscopy. Materials and Methods: Complete ocular examination including visual acuity, slit-lamp examination, applanation tonometry, dilated fundus examination, gonioscopy, and perimetry was done, and the findings recorded in all thepatients of ES detected from among 1000 consecutive patients above the age of 40 from the outpatient department of tertiary hospital in northern India. Results: A total of 1000 patients were examined of which 31 (3.1%) were detected as having ES. On gonioscopy, angle was found to be open in 28 (90%) and occludable in 3(10%) patients. Deep pigmentation of trabecular meshwork (TM) was seen in 27 (87%) patients. Sampaolesi line was seen in all the 28(90%) patients with angles open and was not seen in the 3 patients who had occludable angles. The average intraocular pressure (IOP) of the study group was 19.4 mmHg with 9 (29%) patients having IOP >21 mmHg. Fundus examination was normal in all the patients. The visual field examination showedglaucomatous field defects in one patient. Conclusions: Open angles showing dense pigmentation of the TM and the presence of Sampaolesi line were the most common findings on gonioscopy. Sampaolesi line was not seen in patients having occludable angles.