Korean J Ophthalmol.  1988 Jun;2(1):32-38. 10.3341/kjo.1988.2.1.32.

Clinical experience of exfoliation syndrome

• Hong C
• Song KY
• Park WH

• KMID: 1735021
• DOI: http://doi.org/10.3341/kjo.1988.2.1.32

Abstract

Six patients with exfoliation syndrome were seen in our glaucoma clinic. Four patients presented unilateral ocular involvement and the other 2 patients were bilaterally involved. Eight eyes had exfoliation material on the anterior surface of the lens and pupillary border, and 7 eyes exhibited it on the anterior chamber angle. Sampaolesi`s line was detected in 4 eyes. Five patients (6 eyes) of 6 patients (8 eyes) with exfoliation exhbited an elevated intraocular pressure (IOP) exceeding 21 mmHg. Among them, 3 patients (3 eyes) had an extremely high maximum IOP over 47 mmHg, and 2 patients (3 eyes) had a slightly elevated IOP less than 26 mmHg during the follow-up period. Argon laser trabeculoplasty (ALT) was performed twice on each unilateral eye of the 2 patients on whom the inital trabeculectomy failed. However, longterm IOP control after laser treatment was not obtained in either case, which might be due to the extremely high prelaser lOP level, in exoess of 40 mmHg.

Keyword

exfoliation syndrome; glaucoma; intraocular pressure (IOP); Sampaolesi`s line; argon laser trabeculoplasty (ALT)

MeSH Terms

Aged
Anterior Eye Segment/*physiopathology/surgery
Eye Diseases/diagnosis/*physiopathology/surgery
Female
Glaucoma/physiopathology/surgery
Humans
Intraocular Pressure
Korea
Laser Therapy
Male
Middle Aged
Trabeculectomy