Pseudoexfoliation affects only a small percent of patients undergoing cataract surgery, but it is important to recognize because it poses challenges, particularly intraoperatively.
The dandruff-like proteins that are created and scattered in the eye are associated with progressive zonulopathy, which increases the risk for complications. These patients often have poorly dilating pupils and loose zonular support and are more prone to complications including capsule damage, vitreous prolapse and poor visual recovery.
At the initial consultation, the patient was noted to have a 2.5 mm anterior