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Related Experiment Videos

Phacoemulsification in eyes with pseudoexfoliation

L Drolsum1, E Haaskjold, K Sandvig

  • 1Department of Ophthalmology, National Hospital, Oslo, Norway.

Journal of Cataract and Refractive Surgery
|June 27, 1998
PubMed
Summary

Phacoemulsification cataract surgery is safe for eyes with pseudoexfoliation, though intraoperative complications are more frequent. Postoperative inflammation risk is not significantly increased in these patients.

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Area of Science:

  • Ophthalmology
  • Surgical Outcomes
  • Cataract Surgery

Background:

  • Pseudoexfoliation syndrome is a condition affecting the eye's lens capsule and zonules.
  • Cataract surgery, particularly phacoemulsification, is a common procedure to restore vision.

Purpose of the Study:

  • To compare intraoperative and postoperative complications in patients undergoing phacoemulsification for cataract surgery.
  • To assess the safety and outcomes of phacoemulsification in eyes with and without pseudoexfoliation.

Main Methods:

  • A prospective study of 1152 consecutive phacoemulsification procedures.
  • Patients were divided into two groups: 164 with pseudoexfoliation and 916 without.
  • Follow-up was conducted for 4 months post-surgery.

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Main Results:

  • Intraoperative complications (capsular/zonular tear or vitreous loss) were significantly higher in the pseudoexfoliation group (9.6% vs. 3.7%).
  • Achieved visual acuity of 0.5 or better was slightly lower in the pseudoexfoliation group (86.5% vs. 92.4%).
  • No significant differences in postoperative inflammatory response were observed between groups at 1 day, 1 week, or 4 months.

Conclusions:

  • Phacoemulsification is a safe surgical option for most eyes with pseudoexfoliation.
  • While intraoperative risks are elevated, the long-term risk of inflammation is not significantly increased by pseudoexfoliation.