Objectives: To reduce the risk of intraoperative complications by using currently available surgical devices. Methods: In a study conducted at a tertiary care hospital, 25 patients with pseudoexfoliation syndrome underwent cataract surgery. Preoperative visual acuity, refraction, slit lamp biomicroscopy, intraocular pressure measurement and fundus examination of all patients was done. From the preoperative planning, to the intraoperative management of the small pupil and phacodenesis, and to the postoperative correction of capsule phimosis and intraocular lens dislocation, a step approach to the surgical management of pseudoexfoliation patients is illustrated. Result: A planned approach to cataract surgery using the advanced techniques of phacoemulsification, specific ophthalmic viscosurgical devicess, and capsule support devices significantly reduces the risk of complications during cataract surgery in patients with pseudoexfoliation syndrome. Conclusion: Cataract surgery in settings of pseudoexfoliation syndrome carries a significant risk of complications in the form of capsule rupture, vitreous loss, nucleus luxation, and IOL dislocation. Using currently available surgical devices (ophthalmic viscosurgical device, iris retractors and ring dilators, capsular tension ring, etc.), the risk of intraoperative complications may be much reduced, allowing the surgeon to handle difficult cases with greater confidence and safety. Postoperative surveillance is required
to monitor and treat postoperative intraocular pressure, anterior chamber inflammation, IOL decentration, and cystoid macular edema.
Keywords: Pseudoexfoliation syndrome; Phacoemulsification; Iris retractors; IOL dislocation.