Retrospective study on the incidence of pseudoexfoliatio lentis and related complications in a cohort of patients from the Island of Ischia: medico-legal and ergophthalmology considerations.

Mauro Salducci,Concetta Nappi,Marzio Di Meglio,Francesco Maiorano,Carmen Rachele Maione

doi:10.22336/rjo.2021.46

Abstract

The population of the island has lived for centuries almost isolated from the rest of the continental population. In the seventh century BC, it was the first Greek colony in the southern Italy and was colonized by the Eubei, then it was the turn of the Roman rule. In the Middle Ages, the island was the victim of many raids of the Barbary pirates. Only in the last decades of the 800, did the island begin to open to tourism. However, it had a strong setback with the terrible earthquake of Casamicciola, in 1883. Tourism had gradually resumed in the second post-war period. These episodes have contributed to bringing people extraneous to the autochthonous community to the island. As in most of the coastal populations of the Mediterranean basin, there is a very high incidence of pseudoexfoliation lentis in the population of Ischia, which is a syndrome that often complicates in a challenging way the surgical intervention for the removal of cataracts.

Highlights

Specialist and expert in Medical and Labor Ophthalmology, and with the local ophthalmology group located in Forio of Ischia (NA) and directed by Dr Di Meglio, we performed a retrospective study on 3802 cataract operations performed on patients from the island of Ischia (NA) in the last 10 years and on complications related to pseudoexfoliatio lentis known as pseudoexfoliation syndrome (PEX), in relation to the occupational and visual rehabilitation of the patients (Table 1)
We noted that compared to the use of a lens with iris enclavation, not using corneal sutures, we generated a very low surgically induced astigmatism (SIA), the patient had very little ocular discomfort postoperatively and returned to normal life activities in about 5 days
We retrieved the straight needle with the help of a 30G hollow needle, extracted the prolene straight needle from the anterior chamber, turned it 180° and reinserted it into the c. a., passing this time above the capsule-anus complex of the IOL, we extracted it from the sclera, always with the help of the 30G guide needle

Summary

Introduction

Specialist and expert in Medical and Labor Ophthalmology, and with the local ophthalmology group located in Forio of Ischia (NA) and directed by Dr Di Meglio, we performed a retrospective study on 3802 cataract operations performed on patients from the island of Ischia (NA) in the last 10 years and on complications related to pseudoexfoliatio lentis known as pseudoexfoliation syndrome (PEX), in relation to the occupational and visual rehabilitation of the patients (Table 1). It should be noted that PEX presents several difficulties in the management of both pre, intra, and post-operative patient, as well as several medical and legal implications. A very experienced surgeon can manage these patients but must be able to explain the complications and comorbidities to the patient and must customize the informed consent form for surgery in order not to be susceptible to claims for compensation. Patients not originating from the island of Ischia were excluded from the study [1,2,3,4,5]

Methods

Results

Discussion

Conclusion