Cataract surgery is different in nonagenarians as it seems that once the patient reaches age 90, the aging process will accelerate. The tissues are weaker, the healing process can be slower, and the visual results are not as good as in a younger patient. Combine this with pseudo-exfoliation syndrome and you now have an even more challenging case. This is a complete cataract case where I show the entire case start to finish. For this patient my preferred technique is flip and chop so that I can get the nucleus partially out of the capsular bag and minimize zonular stress.
