Study of Complications during Pseudo Exfoliation Cataract Surgery in North Karnataka Population

Background: Pseudoexfoliation (PEX) is an age-related fibrillopathy characterized by the deposition of fibrillar material in the eye with increased risk of complications during cataract surgery. Method: 90 (ninety) patients above fifty years of age with PEX were studied; planned manual small incision cataract surgery with rigid posterior chamber intraocular lens implantation under peribulbar anesthesia was carried out. Results: 40 (44.4%) patients had intraoperative complications. The major postoperative complications were 29 (32.2%) corneal edema with SKS, 27 (30%) severe AC reactions, and 13 (14.4%) iris pigment dispersion. Conclusion: It is concluded that proper preoperative evaluation and modification of surgical technique are es-sential to manage intraoperative complications and successful cataract surgery with PEX.