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Related Experiment Videos

Exfoliation syndrome and phacoemulsification

A A Dosso1, E R Bonvin, P M Leuenberger

  • 1Clinique d'Ophtalmologie, Geneva, Switzerland.

Journal of Cataract and Refractive Surgery
|January 1, 1997
PubMed
Summary
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Phacoemulsification with intraocular lens implantation is safe for eyes with exfoliation syndrome. This study found similar complication rates and no increased risk of zonular tears in these patients.

Area of Science:

  • Ophthalmology
  • Surgical Techniques

Background:

  • Exfoliation syndrome is a common condition affecting the eye's structures.
  • It can potentially complicate cataract surgery, specifically phacoemulsification and intraocular lens (IOL) implantation.

Purpose of the Study:

  • To assess intraoperative and postoperative complications of phacoemulsification and IOL implantation in patients with exfoliation syndrome.
  • To compare outcomes in eyes with and without exfoliation syndrome.

Main Methods:

  • A prospective study comparing 20 patients with exfoliation syndrome to 20 controls undergoing phacoemulsification and posterior chamber IOL implantation.
  • Evaluation of zonular tears, operating time, and fibrinoid reaction in a separate cohort of 23 patients after 1 year.

Main Results:

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  • Smaller pupil dilation observed in the exfoliation group.
  • Intraoperative zonular tear incidence was 10% in both groups; none occurred in the later cohort.
  • Postoperative complication rates were similar between groups.
  • Exfoliation group showed a significant decrease in intraocular pressure post-surgery.

Conclusions:

  • Phacoemulsification with posterior chamber IOL implantation is a safe procedure for eyes affected by exfoliation syndrome.
  • The technique does not appear to increase the risk of complications compared to standard cataract surgery.