What pre-operative features in pseudoexfoliation patients do you feel correlate with intra-op zonulopathy?

This is an excellent question. Several factors play a role in the extent of zonulopathy that one may expect during pseudoexfoliation cases. A history of zonulopathy in the other eye or other factors that could contribute (trauma, falls, prior surgeries like retina procedures) would be one thing to l...

Unfortunately, the presence or amount of fibrillar material in the anterior segment (e.g., lens capsule, pupillary border, or TM) really does not seem to correlate with zonular status in my experience. That said, phacodonesis obviously is a big red flag, but also apposition of the anterior lens caps...