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Journals / Sakarya Tıp Dergisi / 2026 / Volume: 16 Issue: 3

Refractive Outcomes After Uneventful Phacoemulsification in Eyes With Pseudoexfoliation Syndrome, Pseudoexfoliative Glaucoma, and Primary Open-Angle Glaucoma

Kübra Özata Gündoğdu(SAKARYA UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF OPHTHALMOLOGY)0000-0001-7144-6235
Nilgün Özkan Aksoy(SAKARYA UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF OPHTHALMOLOGY)0000-0003-1107-9546
Serpil Kaya(SAKARYA UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF OPHTHALMOLOGY)0009-0006-0802-2062
Şule Bahadır Coşkun(SAKARYA UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF OPHTHALMOLOGY)0000-0003-1713-899X
Pages
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Publication Date
2026-09-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Despite the potential zonular instability and postoperative IOP fluctuations associated with pseudoexfoliation and glaucoma, refractive predictability remained comparable across all groups after uncomplicated phacoemulsification.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: To compare biometric parameters and refractive outcomes after uneventful phacoemulsification cataract surgery among patients with pseudoexfoliation syndrome (PXS), pseudoexfoliative glaucoma (PXG), primary open-angle glaucoma (POAG), and a control group.
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Key Findings & Data:Methods: This retrospective study included 174 eyes divided into four groups: PXS, PXG, POAG, and controls.
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Conclusion & Impact:Despite the potential zonular instability and postoperative IOP fluctuations associated with pseudoexfoliation and glaucoma, refractive predictability remained comparable across all groups after uncomplicated phacoemulsification.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Pseudoexfoliation syndrome · Pseudoexfoliative glaucoma · Primary open-angle glaucoma

Abstract

Objective: To compare biometric parameters and refractive outcomes after uneventful phacoemulsification cataract surgery among patients with pseudoexfoliation syndrome (PXS), pseudoexfoliative glaucoma (PXG), primary open-angle glaucoma (POAG), and a control group. Methods: This retrospective study included 174 eyes divided into four groups: PXS, PXG, POAG, and controls. Demographic characteristics, including age and sex, were recorded. Preoperative biometric parameters such as anterior chamber depth (ACD) and axial length were measured. Refractive outcomes were assessed using target spherical equivalent (SE), postoperative SE, mean refractive error (MRE), and mean absolute error (MAE). Refractive error magnitude and direction were also analyzed. Results: The mean age of the study population was 71.04 ± 7.43 years, and there were no statistically significant differences among the groups in terms of age or sex distribution (p > 0.05). There were no statistically significant differences among the groups in terms of preoperative ACD, axial length, target SE, postoperative SE, MRE, or MAE (p > 0.05 for all). The MAE values were 0.57 ± 0.67 D in the PXS group, 0.56 ± 0.53 D in the PXG group, 0.57 ± 0.42 D in the POAG group, and 0.49 ± 0.45 D in the control group. The distribution of refractive error magnitude (≤0.50 D, 0.50–1.00 D, and >1.00 D) and direction (myopic or hyperopic) were similar among the groups (p > 0.05). Conclusions: Biometric parameters and refractive outcomes were similar among PXS, PXG, POAG, and control eyes. Despite the potential zonular instability and postoperative IOP fluctuations associated with pseudoexfoliation and glaucoma, refractive predictability remained comparable across all groups after uncomplicated phacoemulsification.

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Cite This Article

Gündoğdu, K. Ö., Aksoy, N. Ö., Kaya, S., Coşkun, Ş. B., *, K. Ö. G. (2026). Refractive Outcomes After Uneventful Phacoemulsification in Eyes With Pseudoexfoliation Syndrome, Pseudoexfoliative Glaucoma, and Primary Open-Angle Glaucoma. Sakarya Tıp Dergisi, Volume: 16 Issue: 3. https://doi.org/10.31832/smj.1998326

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