Know the Risks of Pseudo Exfoliation and Cataract Surgery

Pseudoexfoliation is a condition where abnormal fibrillar extra cellular materials are accumulated in the ocular lens. The connective tissue filaments that connect the natural lens to the wall of the eye become less helpful. The presence of this
pseudo exfoliation is very important while

deciding for a cataract surgery as it can bring about pre operative complications.

Cataract is a condition where the natural lens is clouded due to old age and has to be replaced by an IOL (intraocular lens) to have better vision.

Although this surgery is very simple nowadays and is always successful, some clinical conditions make this cataract surgery difficult. Pseudo exfoliation is one such condition that has to test for before going for cataract surgery.

Zonules are the connective tissue accesories and in pseudo exfoliation, these zonules are less in number and are very weak. The surgeon in cataract operation takes the help of the zonules for a safe operation.

When the zonules are weak, the lens move and have the chances of falling into the back of the eye and another surgery is necessary to remove them. The surgery needs expert and experienced surgeons to perform the cataract operation successfully in the presence of this pseudo exfoliation syndrome.

Nowadays many devices are available to support these weak zonules during the surgery.The risks that go with cataract surgery in people with pseudo exfoliation are difficulty in getting the pupil dilated which gives more chances of rupture of the posterior capsule.

The other complications are:

• Swelling or inflammation of the center of the retina
  
• Glaucoma
• Early or delayed dislocation of the lens implant
• Rupture of the zonules
• Loss of vitreous of the eye

The surgeon needs to consider these risks before deciding for the surgery. A gentle cataract removal procedure should be opted considering these risk factors.

With proper pre operative preparations, use of proper equipments during the operation, good monitoring and post operative follow up, cataract surgery can be a success without complications even with pseudo exfoliation condition.

With more and more innovation and improvement in the technology, the outcomes of cataract surgery and other eye surgeries have become exceptional even in the difficult cases.

The patient with pseudo exfoliation syndrome can learn and be aware of the side effects of the surgery before deciding to have the cataract surgery with the guidance of the expert and experienced eye surgeon.

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