Cataract Surgery in Pseudoexfoliation Syndrome Using the Eight-Chop Technique

Area of Science:

• Ophthalmology
• Surgical Techniques

Background:

• Pseudoexfoliation (PEX) syndrome presents challenges in cataract surgery due to potential zonular weakness.
• Evaluating novel surgical techniques is crucial for optimizing outcomes in complex cases.

Purpose of the Study:

• To assess the safety and efficacy of the eight-chop technique in cataract surgery for patients with PEX syndrome.
• To compare intraoperative parameters, corneal endothelial cell changes, intraocular pressure, and complications between PEX and control groups.

Main Methods:

• The eight-chop technique was applied to patients with and without PEX syndrome.
• Preoperative and postoperative assessments included visual acuity, intraocular pressure (IOP), and corneal endothelial cell density (CECD).
• Intraoperative data collected: operative time, phaco time, aspiration time, cumulative dissipated energy (CDE), and fluid volume.

Main Results:

• The eight-chop technique demonstrated favorable surgical metrics in the PEX group compared to the control group.
• Corneal endothelial cell density losses were observed postoperatively in both groups, with slightly higher but acceptable losses in the PEX group.
• No cases in the PEX group required a capsular tension ring due to zonular dialysis.

Conclusions:

• The eight-chop technique is effective and safe for cataract surgery in patients with PEX syndrome.
• The technique manages zonular weakness effectively, potentially eliminating the need for additional devices like capsular tension rings.
• This approach contributes to personalized treatment strategies and improved cataract management.