Cataract surgery in patients with pseudoexfoliation syndrome: current updates

Luigi Fontana, Marco Coassin, Alfonso Iovieno, Antonio Moramarco, Luca Cimino Ophthalmology Unit, Arcispedale Santa Maria Nuova – IRCCS, Reggio Emilia, Italy Abstract: Pseudoexfoliation is a ubiquitous syndrome of multifactorial origin affecting elderly people by increasing the risk of c...

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Autores principales:	Fontana L, Coassin M, Iovieno A, Moramarco A, Cimino L
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Pseudoexfoliation syndrome cataract surgery zonular laxity intraocular lens implant complications. Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/0c259fd3882140b0a21bd1f8477076b0
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spelling	oai:doaj.org-article:0c259fd3882140b0a21bd1f8477076b02021-12-02T00:31:45ZCataract surgery in patients with pseudoexfoliation syndrome: current updates1177-5483https://doaj.org/article/0c259fd3882140b0a21bd1f8477076b02017-07-01T00:00:00Zhttps://www.dovepress.com/cataract-surgery-in-patients-with-pseudoexfoliation-syndrome-current-u-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Luigi Fontana, Marco Coassin, Alfonso Iovieno, Antonio Moramarco, Luca Cimino Ophthalmology Unit, Arcispedale Santa Maria Nuova – IRCCS, Reggio Emilia, Italy Abstract: Pseudoexfoliation is a ubiquitous syndrome of multifactorial origin affecting elderly people by increasing the risk of cataract and secondary glaucoma development. Despite modern techniques and technologies for cataract surgery, pseudoexfoliation syndrome represents a challenge for surgeons because of the increased weakness of the zonular apparatus and limited pupil dilation. Due to the inherent difficulties during surgery, the risk of vitreous loss in these patients is several times higher than in cataract patients without pseudoexfoliation. Using currently available surgical devices (ophthalmic viscosurgical device, iris retractors and ring dilators, capsular tension ring, etc.), the risk of intraoperative complications may be much reduced, allowing the surgeon to handle difficult cases with greater confidence and safety. This review analyzes the methodologic approach to the patient with zonular laxity with the aim of providing useful advices to limit the risks of intraoperative and postoperative complications. From the preoperative planning, to the intraoperative management of the small pupil and phacodonesis, and to the postoperative correction of capsule phimosis and intraocular lens dislocation, a step approach to the surgical management of pseudoexfoliation patients is illustrated. Keywords: pseudoexfoliation syndrome, cataract surgery, zonular laxity, intraocular lens implant, complicationsFontana LCoassin MIovieno AMoramarco ACimino LDove Medical PressarticlePseudoexfoliation syndromecataract surgeryzonular laxityintraocular lens implantcomplications.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 1377-1383 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pseudoexfoliation syndrome cataract surgery zonular laxity intraocular lens implant complications. Ophthalmology RE1-994
spellingShingle	Pseudoexfoliation syndrome cataract surgery zonular laxity intraocular lens implant complications. Ophthalmology RE1-994 Fontana L Coassin M Iovieno A Moramarco A Cimino L Cataract surgery in patients with pseudoexfoliation syndrome: current updates
description	Luigi Fontana, Marco Coassin, Alfonso Iovieno, Antonio Moramarco, Luca Cimino Ophthalmology Unit, Arcispedale Santa Maria Nuova – IRCCS, Reggio Emilia, Italy Abstract: Pseudoexfoliation is a ubiquitous syndrome of multifactorial origin affecting elderly people by increasing the risk of cataract and secondary glaucoma development. Despite modern techniques and technologies for cataract surgery, pseudoexfoliation syndrome represents a challenge for surgeons because of the increased weakness of the zonular apparatus and limited pupil dilation. Due to the inherent difficulties during surgery, the risk of vitreous loss in these patients is several times higher than in cataract patients without pseudoexfoliation. Using currently available surgical devices (ophthalmic viscosurgical device, iris retractors and ring dilators, capsular tension ring, etc.), the risk of intraoperative complications may be much reduced, allowing the surgeon to handle difficult cases with greater confidence and safety. This review analyzes the methodologic approach to the patient with zonular laxity with the aim of providing useful advices to limit the risks of intraoperative and postoperative complications. From the preoperative planning, to the intraoperative management of the small pupil and phacodonesis, and to the postoperative correction of capsule phimosis and intraocular lens dislocation, a step approach to the surgical management of pseudoexfoliation patients is illustrated. Keywords: pseudoexfoliation syndrome, cataract surgery, zonular laxity, intraocular lens implant, complications
format	article
author	Fontana L Coassin M Iovieno A Moramarco A Cimino L
author_facet	Fontana L Coassin M Iovieno A Moramarco A Cimino L
author_sort	Fontana L
title	Cataract surgery in patients with pseudoexfoliation syndrome: current updates
title_short	Cataract surgery in patients with pseudoexfoliation syndrome: current updates
title_full	Cataract surgery in patients with pseudoexfoliation syndrome: current updates
title_fullStr	Cataract surgery in patients with pseudoexfoliation syndrome: current updates
title_full_unstemmed	Cataract surgery in patients with pseudoexfoliation syndrome: current updates
title_sort	cataract surgery in patients with pseudoexfoliation syndrome: current updates
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/0c259fd3882140b0a21bd1f8477076b0
work_keys_str_mv	AT fontanal cataractsurgeryinpatientswithpseudoexfoliationsyndromecurrentupdates AT coassinm cataractsurgeryinpatientswithpseudoexfoliationsyndromecurrentupdates AT iovienoa cataractsurgeryinpatientswithpseudoexfoliationsyndromecurrentupdates AT moramarcoa cataractsurgeryinpatientswithpseudoexfoliationsyndromecurrentupdates AT ciminol cataractsurgeryinpatientswithpseudoexfoliationsyndromecurrentupdates
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Cataract surgery in patients with pseudoexfoliation syndrome: current updates

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