Abstract
We present a rare case of bilateral pseudoexfoliative deposits on both intraocular lens (IOL) implants in an 83-year-old woman with no other associated pathology, 5 years after cataract surgery. Pseudoexfoliation syndrome is the most common cause of secondary open-angle glaucoma worldwide and these deposits are usually found on the natural lens. The fact that pseudoexfoliative deposits have been found on IOL implants implies the need for a thorough examination in pseudophakic patients, for it could be the only sign of secondary glaucoma.
Highlights
Pseudoexfoliation syndrome (PEX) is widely accepted as a frequently encountered pathology that makes cataract surgery in some cases challenging
Pseudoexfoliation syndrome is a very frequently encountered pathology found on the natural lens of the eye appearing in a particular three-ring pattern
The intermediate clear zone is caused by friction of the iris with the anterior lens capsule [1]
Summary
Pseudoexfoliation syndrome (PEX) is widely accepted as a frequently encountered pathology that makes cataract surgery in some cases challenging. As reflected in some reports the lens is unnecessary for the production of these exfoliative deposits due to the fact that exfoliative material has been found on IOL implants, years after cataract surgery [1,2,3,4,5] Most of these reports have described an exfoliative material in pseudophakic patients years after IOLs implantation, suggesting long-standing production in the absence of natural lens friction. None of these reports have described before bilateral IOL pseudoexfoliation deposits. This is the first case published having bilateral exfoliative findings on IOLs
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