Fig. 137. Pseudoexfoliation dislocation. The capsular bag containing an AMO SI18NB IOL has separated almost all of its zonular attachments in this patient with pseudoexfoliation syndrome. The IOL-bag complex will be posterior, almost appearing to be in midvitreous, although it is on top of the anterior hyaloid membrane at the time of surgery. It will be floated anteriorly with viscoelastic, grasped by a forceps, and removed through the original incision. (Courtesy of James A. Davison, MD, Wolfe Eye Clinic, Marshalltown, IA.)