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Advanced Technical IVT

pseudoexfoliation

Pronunciation: SOO-doh-ex-foh-lee-AY-shun

Age-related condition involving deposition of fibrillar material on ocular structures. Significantly complicates cataract surgery due to zonular weakness.

Full Definition

A systemic disorder characterized by the production and accumulation of abnormal extracellular material throughout the anterior segment of the eye and other organs. In ophthalmic surgery, pseudoexfoliation syndrome presents significant challenges due to its association with zonular weakness, increased surgical complications, and higher rates of post-operative pressure elevation. The condition requires modified surgical techniques, longer operative times, and enhanced post-operative monitoring. Recognition of pseudoexfoliation is crucial for appropriate surgical planning and informed consent discussions.

Usage

Usage note: Often abbreviated as PEX; distinguish from true exfoliation which is different condition.

In Context

  • "Pre-operative examination revealed pseudoexfoliation material on the lens capsule and pupillary margin." — Surgical planning note
  • "The presence of pseudoexfoliation increased the complexity of cataract extraction due to zonular instability." — Operative difficulty assessment

Also known as

PEX pseudoexfoliation syndrome

Don't confuse with

exfoliation capsular delamination

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