Pseudoexfoliation on pseudophakos
A 70-year-old man presented in January 2011 to our OPD with poor vision in both eyes (BE). He had extracapsular cataract extraction with implantation of a polymethylmethacrylate intraocular lens (PMMA IOL) in left eye (LE) in June 2007 for nuclear cataract. There was no record of PXF noted on the lens surface or pupillary ruff before cataract surgery. On examination, the best-corrected visual acuity (BCVA) was 20/200 in right eye (RE) and no perception of light in LE. The intraocular pressure (IOP) was 42 and 17 mm Hg in RE and LE, respectively. Examination of RE revealed dense nuclear cataract with no PXF and a cup/disc ratio of 0.9. Gonioscopy showed open angles with patchy peripheral anterior synechiae (PAS). In LE, the pupil was dilated and fixed with frosted granular material similar to PXF over the anterior surface of IOL and new vessels on iris were present []. Fundus examination revealed ischemic central retinal vein occlusion and a total cup. Gonioscopy revealed open angles with no new vessels but heavy pigmentation.