Changes in corneal endothelium and risk factors for surgical treatment of cataracts in the presence of pseudoexfoliation syndrome

Characteristic of pseudoexfoliative syndrome (PEX) corneal changes in the form of keratopathy which affects all layers of the cornea as the process progresses is a risk factor in cataract surgery especially in countries with a large elderly population. In cataract surgery, the corneal endothelium deserves increased attention because cells do not recover from their damage (Schlotzer-Schrehardt et al., 1993; Zheng, 2013). We studied corneal endothelial changes in 58 patients (58 eyes) with PEX from the perspective of the progression of the syndrome, risk factors of cataract surgery. From the standpoint of the risk of potential complications of cataract surgery dystrophic symptoms complex of eye structures, the degree of development of PEX (3 stages) analyses of indicators of morphological changes in the corneal endothelium revealed significant differences in indicators depending on the degree of PEX progression. From the standpoint of cataract surgery in the eyes with PEX, there is a tendency for changes in the morphological parameters of the corneal endothelium with progressing syndrome.