Pseudoexfoliative material on an intraocular lens

Abstract

An 84-year-old woman with a prior history of bilateral cataract surgery with intraocular lens (IOL) implantation and neodymium:YAG capsulotomy presented at the Bascom Palmer Eye Institute for routine ophthalmological examination. She was previously diagnosed with pseudoexfoliation glaucoma. On presentation, best-corrected visual acuity in the right eye was 20/30; in the left eye, 20/25. Intraocular pressure was 13 mm Hg in the right eye and 14 mm Hg in the left eye on latanoprost eye drops in both eyes. Slit lamp examination revealed pseudoexfoliation material on the anterior surface of the IOL in multiple linear patterns in the right eye on oblique illumination (A) and retroillumination (B). This case underscores the importance of anterior segment examination where the deposits on the IOL may be an important sign for diagnosis of pseudoexofliation syndrome in pseudophakic patients.