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An 86-year-old woman with pseudoexfoliation syndrome underwent cataract surgery in the right eye at Centro Hospitalar Universitário do Porto, Portugal. Because pseudoexfoliation syndrome increases the risk of peri- and postoperative complications, the surgeon chose to implant an intraocular lens (IOL) that would allow subsequent scleral suspension (Akreos Adapt AO, Bausch & Lomb, Rochester, NY), if needed. The surgical procedure was uncomplicated, and the IOL was implanted in the capsular bag. One month after surgery, visual acuity was 20/20 (Snellen). Two months after surgery, however, significant anterior capsule phimosis was noted, with temporal zonular stretching and nasal displacement of the lens. The patient was satisfied with her visual acuity, and no further procedures were necessary. The patient is periodically reassessed.
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