Zusammenfassung
Das Pseudoexfoliationssyndrom (PEX-Syndrom) ist eine häufige, mit dem Alter zunehmende
und weltweit auftretende Erkrankung. Charakteristisch ist die Produktion und Ablagerung
von extrazellulärem, fibrillärem Material im Bereich der vorderen Augenkammer. Mit
einem breiten Spektrum potenzieller Komplikationen ist die Relevanz sowohl für die
konservative als auch die operative Ophthalmologie groß.
Abstract
Pseudoexfoliation (PEX) syndrome is a common, worldwide occurring and age-related
disorder characterised by the deposition of extracellular fibrillar material. It is
a systemic disease with significant ocular manifestations, including cataract and
glaucoma. All structures of the anterior segment are affected leading to multiple
specific findings in slit lamp examination. The most prominent findings are white,
dandruff like deposits on the anterior surface of the lens or the pupillary border
of the iris. Furthermore, PEX syndrome is the most common identifiable cause of open
angle glaucoma. PEX glaucoma generally takes a more rapidly progressive course than
primary open angle glaucoma. Patients therefore typically need earlier surgical intervention.
PEX syndrome is often accompanied by nuclear cataract formation. Cataract extraction
tends to be complicated and remains a challenge. Several technique modifications and
new devices help to reduce the complication rate. The purpose of this paper is to
summarize information regarding ocular manifestations of PEX-syndrome to facilitate
an early diagnosis and to present a general view of the treatment of PEX glaucoma.
Schlüsselwörter
Pseudoexfoliationssyndrom - Diagnostik - Pseudoexfoliationsglaukom - Katarakt - Epidemiologie
Key words
pseudoexfoliation syndrome - diagnostics - pseudoexfoliation glaucoma - cataract -
epidemiology
