Cataract surgery in patients with pseudoex-foliation syndrome: current updates

Figures & data

Figure 1 Slit lamp photograph showing signs of cataract and pseudoexfoliation.

Notes: The lens surface shows sign of exfoliating fibrillar material with accumulation of whitish flakes at the pupillary margin. The pupil is only moderately dilated after pharmacological mydriasis.

Table 1 Preoperative risk factors and intraoperative and postoperative complications in PXF patients with cataract surgery

Preoperative	Intraoperative	Postoperative
Small pupil	Iris damage	Fibrinous uveitis
Pupillary synechiae	Posterior capsule tear	Posterior synechiae
Zonular laxity/dialysis	Capsular bag dislocation	Capsular phimosis
Capsule fragility	Vitreous loss	IOP spike
Vitreous prolapse		IOL in the bag dislocation
Shallow anterior chamber		Endothelial cell damage
Hyper deep anterior chamber		Cystoid macular edema
Glaucoma

Abbreviations: IOL, intraocular lens; IOP, intraocular pressure; PXF, pseudoex-foliation syndrome.

Figure 2 Intraoperative photograph showing capsule retractors stenting the capsular bag during phacoemulsification.

Note: Following cortical lens aspiration, a capsular tension ring is implanted prior to intraocular lens implantation.

Figure 3 Slit lamp photograph showing anterior capsule opacification and phimosis after cataract surgery with in-the-bag IOL implantation.

Note: Note the reduction in size of the anterior capsulotomy with radial lines of capsular shrinkage, indicating traction on the peripheral lens zonules.
Abbreviation: IOL, intraocular lens.

Figure 4 Slit lamp photograph after Nd:YAG laser anterior capsulotomy.

Note: Lens capsule contraction was released with enlargement of the anterior capsulotomy.