Pseudoexfoliation deposition in an intraocular lens implant

Abstract

An 86-year-old man presented at the Centro Hospitalar Universitário do Porto for routine ophthalmological examination. He had undergone bilateral cataract surgery with intraocular lens (IOL) implantation 8 years previously at a private center. Uncorrected visual acuity in the right eye was 20/25. Slit lamp examination (A) showed pseudoexfoliation material in the pupillary border and an in-the-bag IOL with white deposits in the shape of a flower (B, transillumination). Although pseudoexfoliation deposition on the crystalline lens is common, it is not typically seen on an IOL.