
WAIKOLOA, Hawaii — Keep the cornea in mind and protect the endothelium when managing pseudoexfoliation glaucoma during cataract surgery, a presenter said here.
“Consider femto if at all possible to decrease the ultrasound and combine with angle surgery, but skip the implants to save the cornea,” Malik Y. Kahook, MD, said at Hawaiian Eye 2022.
The second key is to target the angle first and early.
“Pseudoexfoliation does not stop — play the long game,” he said.
In addition, skip endocyclophotocoagulation because it usually does not work.
Kahook said that he