Phacoemulsification in the presence of pseudoexfoliation: challenges and options

Phacoemulsification in the presence of pseudoexfoliation of the lens presents surgeons with particular challenges. The frequency of intraoperative and postoperative complications such as zonular dialysis, capsular tears, vitreous loss, and intraocular lens (IOL) decentration may be reduced with careful attention to detail and careful surgical technique. Improvements in phacoemulsification technology, IOLs, and new capsular supporting rings allow surgeons to perform safer surgery in these eyes. We present the challenges of and options for managing cataract extraction in the presence of pseudoexfoliation.