Prevalence of cataract complications in patients with pseudoexfoliation syndrome in Northwestern Spain Vázquez Ferreiro, Pedro Carrera Hueso, Francisco Javier Barreiro Rodríguez, Lidia Díaz Rey, Marta Poquet Jornet, Jaime E. Exfoliation syndrome Phacoemulsification Cataract extraction/adverse effects Purpose: To assess the relationship between pseudoexfoliation syndrome and incidence of complications and related clinical factors in patients undergoing cataract surgery. Methods: We conducted a retrospective cohort study of 503 of 551 patients who underwent phacoemulsification surgery over 2 years in a health care district in Northwest Spain. In total, 120 of 681 eyes undergoing the procedure had pseudoexfoliation syndrome. Data on the surgical procedure and associated complications were extracted from the medical record. Complications included any combination of posterior capsular rupture, vitreous loss, zonular dialysis, and nuclear or lens luxation. Results: We found a significant association between pseudoexfoliation syndrome and zonular dialysis (odds ratio [OR], 6.89; 95% CI, 2.27-20.93), intraoperative miosis (OR, 2.15; 95% CI, 1.10-4.22), and lens luxation >1.5 mm (OR, 9.49; 95% CI, 0.85-105.54). However, when adjusting for the overall risk of complications in pseudoexfoliation syndrome patients in consideration of myopia, use of anticoagulants or α-agonists, previous mydriasis, and anterior chamber length, the OR decreased to 1.02 (95% CI, 0.47-2.21) and was therefore not significant. Conclusion: Zonular dialysis and intraoperative miosis were intraoperative complications in cataract surgery patients with pseudoexfoliation syndrome when compared to controls. 2019-11-18T08:54:40Z 2019-11-18T08:54:40Z 2019 journal article Vazquez-Ferreiro, P., Carrera-Hueso, F. J., Barreiro-Rodriguez, L., Diaz-Rey, M., & Jornet, J. E. P. (2019). Prevalence of cataract complications in patients with pseudoexfoliation syndrome in Northwestern Spain. Arquivos brasileiros de oftalmologia, (AHEAD). http://hdl.handle.net/10481/57941 10.5935/0004-2749.20190095 eng http://creativecommons.org/licenses/by/3.0/es/ open access Atribución 3.0 España Conselho Brasileiro de Oftalmologia