ABSTRACT: Pseudoexfoliation syndrome is characterised by the production and progressive accumulation of fibrillar extracellular material within different ocular tissues, and its incidence varies considerably according to geographical location. Cataract surgery in pseudoexfoliative patients is associated with a higher rate of complications, which are more common the more advanced the cataract. For this reason, the approach in these cases requires a thorough pre-operative study, a carefully planned surgical strategy and appropriate post-operative follow-up, which are the issues discussed in this review.
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