[Exfoliative syndrome and phacoemulsification].
OBJECTIVE
Exfoliation syndrome (ES) is often considered as a poor indication for phacoemulsification because of zonular weakness, capsular weakness and poor pupil dilatation.


METHODS
We evaluated from January 1992 to December 1992 a series of 107 consecutive eyes with ES and undergoing cataract surgery or combined cataract-glaucoma surgery. The pupil was surgically enlarged if the diameter was < or = 5 mm.


RESULTS
During surgery, only one case of zonular dialysis without vitreous loss was observed. The incidence of postoperative complications was low (6 hyphemas and 8 inflammatory reactions) and visual results were satisfactory.


CONCLUSIONS
Phacoemulsification can be used routinely in eyes with ES if a careful peroperative protocol is followed: pupillary dilatation, wide capsulorhexis, total nucleus hydrodisection.
Colin
J
J
Service d'Ophtalmologie, CHRU Morvan, Brest.
D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000150:complications; D002387:Cataract Extraction / Q000009:adverse effects / Q000379:methods*; D017889:Exfoliation Syndrome / Q000150:complications / Q000601:surgery*; D005260:Female; D005901:Glaucoma / Q000601:surgery; D006801:Humans; D008297:Male; D011446:Prospective Studies; D014130:Trabeculectomy
Syndrome exfoliatif et phacoémulsification.