Zonular dialysis during extracapsular cataract extraction in pseudoexfoliation syndrome
G. L. Skuta, R. K. Parrish 2nd, E. Hodapp, R. K. Forster and E. J. Rockwood
Five patients with pseudoexfoliation syndrome (PES) and glaucoma developed
extensive zonular dialyses during extracapsular cataract extractions.
Weakness of the lens zonules or their attachments to the ciliary processes,
which has been described in association with PES, may explain this
complication. We believe that patients with PES are at particular risk for
developing large zonular dialyses during extracapsular surgery.
Preoperative phakodonesis, anterior chamber depth asymmetry, and excessive
lens movement during the anterior capsulotomy should alert the surgeon to
this problem.
