This video shows an eye suffering from severe pseudoexfoliation syndrome of the lens. This has caused glaucoma and will make his cataract surgery difficult. In this movie, you can see the white PXF material on the surface of the lens - it looks radially oriented because the iris rubs against the lens at this point.
PXF is an important finding as it will make cataract surgery difficult. The basement-membrane material also adheres to the lens zonules, making them prone to breakage during surgery. This could lead to zonular dehiscense, vitreous loss, or even late lens dislocation.
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pseudoexfoliation3.wmv (3.0 meg, Windows video file) pseudoexfoliation3.mov (Quicktime format coming soon)
How do you treat pseudoexfoliation? If there is a treatment– should that treatment start immediately upon detection? Can pseudoexfoliation be treated before cataract surgery is performed? Should cataract surgery be attempted when pseudoexfoliation is present? What is the chance of successful cataract surgery when pseudoexfoliation is present?
Comment by Carol Zimmerman — October 16, 2009 @ 4:08 pm
I would like to know the answers to all the questiongin the comment shown above by Carol Simmerman on Oct. 16, 2009 4:08 pm because I have this problem and I was trying to find info on this at the same time she was. I also have a cataract on my right eye and am close to surgery for that.
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