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Phacoemulsification in a Patient With True Exfoliation Syndrome

Ali A Mearza, MB, BS, FRCOphth, Mohammed Ziaei, MBChB (Hons), FRCOphth

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An 82-year-old patient presented with complaints of reduced vision. Slit-lamp examination showed she had an extra layer of the anterior capsule floating in the anterior chamber. No phacodonesis was demonstrable, despite bilateral 3+ nucleosclerotic cataracts. The rest of the ocular examination was normal. The patient underwent phacoemulsification under topical anesthesia. After making a temporal clear corneal incision, we instilled vision blue to view the extra layer of capsule in the anterior chamber. Next, we carefully made a capsulorhexis to remove the extra layer of capsule without leaving any tags of the CCC's margin. The rest of the phaco procedure was unremarkable, and we implanted a single-piece acrylic IOL (Rayner C-flex) in the capsular bag.

Posted: 7/10/2013

Keywords:

Capsulotomy/Capsulorrhexis

•

Phacoemulsification

•

Pseudoexfoliation Syndrome, PXF

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Phacoemulsification in a Patient With True Exfoliation Syndrome

Ali A Mearza, MB, BS, FRCOphth, Mohammed Ziaei, MBChB (Hons), FRCOphth

An 82-year-old patient presented with complaints of reduced vision. Slit-lamp examination showed she had an extra layer of the anterior capsule floating in the anterior chamber. No phacodonesis was demonstrable, despite bilateral 3+ nucleosclerotic cataracts. The rest of the ocular examination was normal. The patient underwent phacoemulsification under topical anesthesia. After making a temporal clear corneal incision, we instilled vision blue to view the extra layer of capsule in the anterior chamber. Next, we carefully made a capsulorhexis to remove the extra layer of capsule without leaving any tags of the CCC's margin. The rest of the phaco procedure was unremarkable, and we implanted a single-piece acrylic IOL (Rayner C-flex) in the capsular bag.

Posted: 7/10/2013

Keywords:

Capsulotomy/Capsulorrhexis

•

Phacoemulsification

•

Pseudoexfoliation Syndrome, PXF

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Comments

Allon Barsam

12 years ago

Great video and nice surgery Mo.

Sidney Chang

13 years ago

Nice work Mohammed!

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