Pseudoexfoliation on pseudophakos
A 65-year-old male presented in May 2008 with a 1-year history of decreased vision in BE. He had primary open angle glaucoma (POAG) and dense cataract. There was no PXF in either eye. Patient had manual small incision surgery with trabeculectomy in BE the same year. The posterior capsules were intact, and rigid PMMA IOL was placed in sulcus. He next turned up in May 2011 for decreased vision in BE. Following dilatation, PXF material was seen on the IOL in LE. This was distributed in a concentric ring as radial striations and on the posterior surface of the IOL where it appeared as multiple granular spots [Figs. and ]. Gonioscopy of LE showed open angles with patchy PAS in the inferior angle and darkly pigmented trabecular meshwork. The IOP was 18 mmHg and the cupping was 0.8. RE had edematous cornea, visual acuity of light perception, and the IOP was 28 mmHg. No other details could be made out.