1450: pseudo-exfoliation in a 90 year old

Pseudo-exfoliation syndrome means that cataract surgery will be more challenging. The pupil will not dilate as much, the zonular support will be weaker, and there may be underlying glaucoma damage. Since pseudo-exfoliation tends to progress with age, when you have a 90 year old patient such as this case, the challenges can be even greater. This video explains the pearls for success in this tough case including how you can determine zonular laxity intra-operatively.

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