PHACOEMULSIFICATION IN THE PRESENCE OF PSEUDOEXFOLIATION - CHALLENGESAND OPTIONS

Phacoemulsification in the presence of pseudoexfoliation of the lens p resents surgeons with particular challenges. The frequency of intraope rative and postoperative complications such as zonular dialysis, capsu lar tears, vitreous loss, and intraocular lens (IOL) decentration may be reduced with careful attention to detail and careful surgical techn ique. Improvements in phacoemulsification technology, IOLs, and new ca psular supporting rings allow surgeons to perform safer surgery in the se eyes. We present the challenges of and options for managing catarac t extraction in the presence of pseudoexfoliation.