Many patients experience severe photophobia in response to the microscope light. These patients are also often hyperesthetic, and this patient presented with both issues. Here I demonstrate the use of the “NLP” (no light perception) technique to eliminate photophobia, the soft lens/no ultrasound phaco method and the use of a low (50 mm Hg) IOP setting during phaco and I/A to eliminate the possibility of discomfort caused by a higher intraoperative IOP in this patient who also had a floppy iris.
An eye with pseudoexfoliation exhibits moderate zonular laxity and a small pupil that requires enlargement. The options (capsule tension ring, capsule retractors, or a manual