Dr.ANKIT AGRAWAL, A19699
INTRODUCTION:Pseudoexfoliation is an age related microfibrillopathy. In this deposition of fibrillary residue from the lens and iris pigment epithelium occurs on the lens capsule, ciliary body, zonules, corneal endothelium and iris.
CASE REPORT:A 60 year old male, presented with uniocular diplopia in both eyes (LE>RE) since 6 months. History of both eyes cataract surgery 10 years back. White flaky deposits seen on pupillary margin of both the eyes. Pupillary reaction was sluggish. Right eye PCIOL optic could be seen in the inferior part of pupillary area in about 3/4th of pupil. Left eye PCIOL optic could be seen seen in about 1/2 of inferior part of pupillary area thus indicating inferior subluxation of PCIOL in both. No history of ocular trauma.
TREATMENT:The PCIOL has to be explanted and SFIOL or Iris Claw lens can be implanted to restore normal vision for the patient.
DISCUSSION:Pseudoexfoliation causes weakening of zonules which leads to subluxation of Crystalline lens and PCIOL.
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