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Cataract surgery can be performed in pseudoexfoliation cases without expansion devices
Patients with pseudoexfoliation syndrome pose significant challenges during cataract surgery: The zonular apparatus is often weak with some degree of phacodonesis, and the pupil tends not to dilate well, limiting access to the cataract. These eyes are at a higher risk of both intraoperative and postoperative complications, which can result in compromises in visual recovery. The technique of cataract surgery in these eyes with small pupils has traditionally involved the use of mechanical pupil expanders such as iris hooks or rings, but there is an alternate method to achieve an (Read more...)