Sorkou KN, et al. - In this investigation involving 115 individuals, researchers contrasted the ease of hydrodissection between cataract patients with and those without exfoliation syndrome (XFS). Participants in the study were patients with senile cataract.  All patients had uneventful phacoemulsification by the same surgeon. According to findings, hydrodissection was performed more easily in patients with XFS than in controls. Such results might be related to the extensive ultrastructural subepithelial alterations of the anterior lens capsule in XFS, as recently described in studies of electron microscopy. For XFS patients during phacoemulsification, less balanced salt solution can be used for hydrodissection.