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[Exfoliative syndrome and phacoemulsification]

J Colin1

  • 1Service d'Ophtalmologie, CHRU Morvan, Brest.

Journal Francais D'Ophtalmologie
|January 1, 1994
PubMed
Summary
This summary is machine-generated.

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Phacoemulsification is a safe and effective cataract surgery for eyes with exfoliation syndrome (ES). Careful surgical techniques ensure good visual outcomes with low complication rates in ES patients.

Area of Science:

  • Ophthalmology
  • Surgical Techniques

Context:

  • Exfoliation syndrome (ES) presents challenges in cataract surgery due to zonular instability, capsular fragility, and miosis.
  • Previous considerations deemed ES a contraindication for phacoemulsification.

Purpose:

  • To evaluate the safety and efficacy of phacoemulsification in eyes diagnosed with exfoliation syndrome.
  • To assess the incidence of intraoperative and postoperative complications and visual outcomes.

Summary:

  • A series of 107 consecutive eyes with ES underwent cataract or combined cataract-glaucoma surgery.
  • Surgical protocols included meticulous pupillary dilatation, wide capsulorhexis, and total nucleus hydrodisection, with surgical pupil enlargement when necessary.
  • Low rates of intraoperative complications (one zonular dialysis) and postoperative issues (hyphemas, inflammatory reactions) were observed, with satisfactory visual results.

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Impact:

  • Phacoemulsification can be routinely performed in eyes with exfoliation syndrome.
  • Adherence to a careful peroperative protocol is crucial for successful outcomes.
  • This study supports the expanded use of phacoemulsification in complex cataract cases.