Effective “Pop-Out” Nucleus Technique in Cataract Surgery With Pseudoexfoliation: A Case Report

Pseudoexfoliation syndrome (PXF) presents significant challenges in cataract surgery due to zonular weakness and poor pupillary dilation. We report a case of a 72-year-old woman with PXF who underwent cataract surgery using a “pop-out” nucleus technique facilitated by hydrodissection. The technique allowed the safe prolapse of the nucleus into the anterior chamber despite zonular instability. Postoperative visual outcomes were favorable, improving from 0.1 preoperatively to 0.9 one week after surgery. This case highlights the safety and effectiveness of the “pop-out” technique in managing complex cataract cases associated with pseudoexfoliation.