Histopathologic analysis of 53 consecutive IOL-capsular bag specimens explanted after late in-the-bag IOL subluxation/dislocation identified pseudoexfoliation in 33(62%) of cases—less than half of which had a clinical diagnosis of pseudoexfoliation.
In what is believed to be the largest reported series of spontaneous in-the-bag IOL dislocation, investigators analyze presenting characteristics and outcomes for 21 eyes with a capsular tension ring (CTR) and 84 eyes without one.
Postoperative patients with PXF pose both short- and long-term concerns due to the underlying pathological changes that occur from the fibrillar deposition with some complications arising years after the surgery.
Preoperative evaluation of patients with pseudoexfoliation (PXF) syndrome is essential in preparing for and potentially preventing complications during phacoemulsification. Patients with PXF have been documented to have an accelerated rate of cataracts, both nuclear and subcapsular.