{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:41:40Z","timestamp":1786653700604,"version":"build-2736575974"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The study aimed to analyze the surgical outcome of manual small incision cataract surgery (MSICS) in patients with pseudoexfoliation syndrome (PXF) and pseudoexfoliation glaucoma (PXG) and compare them with those of controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>This prospective, observational, and comparative study included 150 cases of PXF with cataracts, 150 cases of PXG with cataracts, and 200 cases of cataracts without PXF as controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>MSICS was performed in all cases under peribulbar anesthesia. Intraoperative complications, if any, were noted. Best-corrected visual acuity (BCVA), intraocular pressure (IOP), and postoperative complications were recorded at follow-up on day 1, day 7, and after 1 month.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis Used:<\/jats:title>\n                    <jats:p>IBM SPSS 24.0 statistics, SPSS South Asia Pvt Ltd.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Lines of improvement in BCVA were significantly better in the control group (8.7 \u00b1 1.7) than that in the PXF (7.5 \u00b1 2.1) and PXG groups (6.4 \u00b1 2.7). IOP significantly decreased from baseline to 1 month postoperatively in the PXG group than in the PXF and control groups (mean difference: 3.8 \u00b1 7.5 mm Hg). Intraoperative iridodialysis and zonular dialysis were significantly high in the PXG group with a proportion of 4 and 20%, respectively. Postoperative choroidal detachment and hyphema, six cases each, were found significantly high in the PXG group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although the BCVA improvement was less and the complications were high in patients with pseudoexfoliation, especially those with PXG, the reduction in IOP was significant. MSICS can be considered favorably in patients with PXF and PXG, with adequate precautions to manage anticipated complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_587_23","type":"journal-article","created":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T00:02:15Z","timestamp":1702857735000},"page":"381-385","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Outcome of manual small incision cataract surgery in patients with pseudoexfoliation syndrome and pseudoexfoliation glaucoma"],"prefix":"10.4103","volume":"72","author":[{"given":"Naresh","family":"Desinayak","sequence":"first","affiliation":[{"name":"Centre for Sight, Nayapalli, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navya","family":"Mannem","sequence":"additional","affiliation":[{"name":"JPM Rotary Club of Cuttack Eye Hospital and Research Institute, CDA, Sector- 6, Cuttack, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amita","family":"Panda","sequence":"additional","affiliation":[{"name":"JPM Rotary Club of Cuttack Eye Hospital and Research Institute, CDA, Sector- 6, Cuttack, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gayatri","family":"Kanungo","sequence":"additional","affiliation":[{"name":"JPM Rotary Club of Cuttack Eye Hospital and Research Institute, CDA, Sector- 6, Cuttack, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sukhada","family":"Mishra","sequence":"additional","affiliation":[{"name":"JPM Rotary Club of Cuttack Eye Hospital and Research Institute, CDA, Sector- 6, Cuttack, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santosh Kumar","family":"Mohapatra","sequence":"additional","affiliation":[{"name":"JPM Rotary Club of Cuttack Eye Hospital and Research Institute, CDA, Sector- 6, Cuttack, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,12,15]]},"reference":[{"key":"R1-20260504","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1111\/j.1755-3768.1988.tb02633.x","article-title":"Exfoliation syndrome in various ethnic populations","volume":"184","author":"Forsius","year":"1988","journal-title":"Acta Ophthalmol Suppl"},{"key":"R2-20260504","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1034\/j.1600-0420.1999.770401.x","article-title":"Epidemiology of the pseudo-exfoliation syndrome","volume":"77","author":"Ringvold","year":"1999","journal-title":"Acta Ophthalmol Scand"},{"key":"R3-20260504","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/S0039-6257(00)00196-X","article-title":"Exfoliation syndrome","volume":"45","author":"Ritch","year":"2001","journal-title":"Surv Ophthalmol"},{"key":"R4-20260504","doi-asserted-by":"crossref","first-page":"453","DOI":"10.2147\/OPTH.S181444","article-title":"Monitoring and management of the patient with pseudoexfoliation syndrome: Current perspectives","volume":"13","author":"Tekin","year":"2019","journal-title":"Clin Ophthalmol"},{"key":"R5-20260504","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.ajo.2012.07.002","article-title":"Pseudoexfoliation syndrome and the long-term incidence of cataract and cataract surgery: The blue mountains eye study","volume":"155","author":"Kanthan","year":"2013","journal-title":"Am J Ophthalmol"},{"key":"R6-20260504","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1159\/000377635","article-title":"Cataract surgery and intraocular pressure","volume":"53","author":"Melancia","year":"2015","journal-title":"Ophthalmic Res"},{"key":"R7-20260504","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1097\/ICU.0b013e3283360ac3","article-title":"The effect of cataract extraction on intraocular pressure","volume":"21","author":"Shrivastava","year":"2010","journal-title":"Curr Opin Ophthalmol"},{"key":"R8-20260504","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1007\/s00347-012-2534-y","article-title":"Pseudoexfoliationssyndrom. 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