Background: Exfoliation syndrome (ES) is characterised by deposition of flakes of fluffy material over the lens and iris, which is commonly associated with glaucoma, though in majority of the patients it is of open angle type but incidence of angle closure glaucoma is higher than general population. Objective: This study was aimed to establish the real association of narrow angles with exfoliation syndrome by comparing it with age related control group to rule out the confounding factor of increasing age for narrow angles. Patients and methods: This was a prospective study carried out among fifty patients above the age of 50 years, who were suffering from exfoliation syndrome. They were compared with another group of 50, age and sex matched patients without exfoliation. The anterior chamber angle configuration were compared between these two groups. In this study the severity of exfoliation were also studied in relation to narrowness of anterior chamber angle and severity was graded based on the extent of distribution of exfoliation. Results: The study found that there was a high (25%) prevalence of occludable angles (grade I, II) in patients with exfoliation syndrome as compared to control group without exfoliation (10%). Among these eyes with occludable angles, 3.2% had totally occluded angle with angle closure glaucoma. The prevalence of open angle glaucoma was (14.2%) and 3.2% eyes with ES had ocular hypertension. The prevalence of occludable angles increase with severity of exfoliation. Conclusion: So this study concludes that angle closure glaucoma and occludable angles are associated with ES apart from open angle glaucoma. The angle tends to be more occludable as the severity of pseudo exfoliation increases.
| Published in | International Journal of Ophthalmology & Visual Science (Volume 6, Issue 1) |
| DOI | 10.11648/j.ijovs.20210601.18 |
| Page(s) | 54-58 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Exfoliation Syndrome (ES), Pseudoexfoliation (XFS), Occludable Angle, Angle Closure Glaucoma
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APA Style
Sharma Ram Lal, Parmar Ranjit Singh. (2021). The High Prevalence of Narrow Angles and Angle Closure Glaucoma in Eyes with Exfoliation Syndrome. International Journal of Ophthalmology & Visual Science, 6(1), 54-58. https://doi.org/10.11648/j.ijovs.20210601.18
ACS Style
Sharma Ram Lal; Parmar Ranjit Singh. The High Prevalence of Narrow Angles and Angle Closure Glaucoma in Eyes with Exfoliation Syndrome. Int. J. Ophthalmol. Vis. Sci. 2021, 6(1), 54-58. doi: 10.11648/j.ijovs.20210601.18
AMA Style
Sharma Ram Lal, Parmar Ranjit Singh. The High Prevalence of Narrow Angles and Angle Closure Glaucoma in Eyes with Exfoliation Syndrome. Int J Ophthalmol Vis Sci. 2021;6(1):54-58. doi: 10.11648/j.ijovs.20210601.18
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Download@article{10.11648/j.ijovs.20210601.18,
author = {Sharma Ram Lal and Parmar Ranjit Singh},
title = {The High Prevalence of Narrow Angles and Angle Closure Glaucoma in Eyes with Exfoliation Syndrome},
journal = {International Journal of Ophthalmology & Visual Science},
volume = {6},
number = {1},
pages = {54-58},
doi = {10.11648/j.ijovs.20210601.18},
url = {https://doi.org/10.11648/j.ijovs.20210601.18},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20210601.18},
abstract = {Background: Exfoliation syndrome (ES) is characterised by deposition of flakes of fluffy material over the lens and iris, which is commonly associated with glaucoma, though in majority of the patients it is of open angle type but incidence of angle closure glaucoma is higher than general population. Objective: This study was aimed to establish the real association of narrow angles with exfoliation syndrome by comparing it with age related control group to rule out the confounding factor of increasing age for narrow angles. Patients and methods: This was a prospective study carried out among fifty patients above the age of 50 years, who were suffering from exfoliation syndrome. They were compared with another group of 50, age and sex matched patients without exfoliation. The anterior chamber angle configuration were compared between these two groups. In this study the severity of exfoliation were also studied in relation to narrowness of anterior chamber angle and severity was graded based on the extent of distribution of exfoliation. Results: The study found that there was a high (25%) prevalence of occludable angles (grade I, II) in patients with exfoliation syndrome as compared to control group without exfoliation (10%). Among these eyes with occludable angles, 3.2% had totally occluded angle with angle closure glaucoma. The prevalence of open angle glaucoma was (14.2%) and 3.2% eyes with ES had ocular hypertension. The prevalence of occludable angles increase with severity of exfoliation. Conclusion: So this study concludes that angle closure glaucoma and occludable angles are associated with ES apart from open angle glaucoma. The angle tends to be more occludable as the severity of pseudo exfoliation increases.},
year = {2021}
}
TY - JOUR T1 - The High Prevalence of Narrow Angles and Angle Closure Glaucoma in Eyes with Exfoliation Syndrome AU - Sharma Ram Lal AU - Parmar Ranjit Singh Y1 - 2021/03/12 PY - 2021 N1 - https://doi.org/10.11648/j.ijovs.20210601.18 DO - 10.11648/j.ijovs.20210601.18 T2 - International Journal of Ophthalmology & Visual Science JF - International Journal of Ophthalmology & Visual Science JO - International Journal of Ophthalmology & Visual Science SP - 54 EP - 58 PB - Science Publishing Group SN - 2637-3858 UR - https://doi.org/10.11648/j.ijovs.20210601.18 AB - Background: Exfoliation syndrome (ES) is characterised by deposition of flakes of fluffy material over the lens and iris, which is commonly associated with glaucoma, though in majority of the patients it is of open angle type but incidence of angle closure glaucoma is higher than general population. Objective: This study was aimed to establish the real association of narrow angles with exfoliation syndrome by comparing it with age related control group to rule out the confounding factor of increasing age for narrow angles. Patients and methods: This was a prospective study carried out among fifty patients above the age of 50 years, who were suffering from exfoliation syndrome. They were compared with another group of 50, age and sex matched patients without exfoliation. The anterior chamber angle configuration were compared between these two groups. In this study the severity of exfoliation were also studied in relation to narrowness of anterior chamber angle and severity was graded based on the extent of distribution of exfoliation. Results: The study found that there was a high (25%) prevalence of occludable angles (grade I, II) in patients with exfoliation syndrome as compared to control group without exfoliation (10%). Among these eyes with occludable angles, 3.2% had totally occluded angle with angle closure glaucoma. The prevalence of open angle glaucoma was (14.2%) and 3.2% eyes with ES had ocular hypertension. The prevalence of occludable angles increase with severity of exfoliation. Conclusion: So this study concludes that angle closure glaucoma and occludable angles are associated with ES apart from open angle glaucoma. The angle tends to be more occludable as the severity of pseudo exfoliation increases. VL - 6 IS - 1 ER -
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