Document Detail


Phacoemulsification in pseudoexfoliation (PEX) syndrome.
MedLine Citation:
PMID:  18949903     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim is to present the phacoemulsification phaco-chop technique in a patient with pseudoexfoliation (PEX) syndrome without the use of additional pupil dilatation methods. Phacoemulsification surgery and posterior chamber intraocular lens implantation in patients with PEX syndrome is associated with a higher rate of intraoperative complications such as zonular dehiscence, capsular rupture, vitreous loss and dropped nucleus. Many options are available for pupils that cannot be dilated sufficiently with pharmacologic agents, such as viscodilatation (Healon 5), bimanual stretching, iris retractor-hooks, and many others. We present cataract surgery in a patient with sufficient mydriasis despite PEX syndrome. The operation was done successfully without intraoperative and postoperative complications. It is concluded that cataract surgery in patients with PEX syndrome is more complicated because of zonular weakness and poor pupillary dilatation. Therefore, these patients should be managed with utmost care and operated on in time by an experienced surgeon.
Authors:
Nikola Susić; Ivana Kalauz-Surać; Jasenka Brajković
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta clinica Croatica     Volume:  47     ISSN:  0353-9466     ISO Abbreviation:  Acta Clin Croat     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-10-27     Completed Date:  2008-11-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9425483     Medline TA:  Acta Clin Croat     Country:  Croatia    
Other Details:
Languages:  eng     Pagination:  87-9     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Sibenik General Hospital, Sibenik, Croatia. nikola.susic@si.t-com.hr
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MeSH Terms
Descriptor/Qualifier:
Exfoliation Syndrome / surgery*
Humans
Lens Implantation, Intraocular
Phacoemulsification* / methods

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