“…42,43 These alterations also explain the wide range of complications that occur in association with intraocular surgery in patients with pseudoexfoliation syndrome, including zonular dehiscence, vitreous loss with posterior capsule rupture, iris hemorrhage, corneal endothelial decompensation, postoperative inflammation, peaks of ocular hypertension, secondary cataract and dislocation of intraocular implants. 43,44 In summary, it could be roughly described, the pathophysiology of the pseudoexfoliation syndrome is associated with excessive production of micro elastic fibrillin components, enzymatic processes, overexpression of TGF-B1, a proteolytic imbalance between MMPs and TIMPs, inflammatory process, increased oxidative and cellular stress as well as an insufficient cellular response to stress, which is reflected in poor regulation of antioxidative enzymes. The exact chemical composition of the pseudoexfoliation material is still unknown.…”