|Year : 2023 | Volume
| Issue : 2 | Page : 611
Unilateral pseudoexfoliation deposits on an implantable collamer lens with uretts-zavalia syndrome in fellow eye
Swati Singh1, Mahipal S Sachdev2, Surbi Taneja3
1 Cataract and Glaucoma Services, Centre for Sight, New Delhi, India
2 Department of Cataract, Cornea and Refractive Surgery, Centre for Sight, New Delhi, India
3 Fellow Glaucoma and Cataract, Centre for Sight, New Delhi, India
|Date of Web Publication||28-Apr-2023|
Cataract and Glaucoma Services, Centre for Sight, New Delhi
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Singh S, Sachdev MS, Taneja S. Unilateral pseudoexfoliation deposits on an implantable collamer lens with uretts-zavalia syndrome in fellow eye. Indian J Ophthalmol Case Rep 2023;3:611
|How to cite this URL:|
Singh S, Sachdev MS, Taneja S. Unilateral pseudoexfoliation deposits on an implantable collamer lens with uretts-zavalia syndrome in fellow eye. Indian J Ophthalmol Case Rep [serial online] 2023 [cited 2023 Jun 6];3:611. Available from: https://www.ijoreports.in/text.asp?2023/3/2/611/374890
A 33-year-old-woman who had undergone implantable collamer lens (ICL) implantation elsewhere in both eyes 4 years ago visited for routine check-up. She had a history of uretts-zavalia syndrome in the right eye (RE) post-surgery and was currently on three glaucoma drugs [Figure 1]a. Her left eye (LE) showed pseudoexfoliation (PXF) material deposits on the pupillary border [Figure 1]b and on the surface of ICL [Figure 1]c and [Figure 1]d, whereas the RE did not show any evidence of PXF [Figure 1]a. Unlike the classical bull's eye pattern seen in phakic eyes, the PXF deposits were seen in a peripheral ring pattern with a clear central zone in LE, which may have been caused by the washing away of deposits by the aqueous egressing through the central port of ICL [Figure 1]c and [Figure 1]d. Gonioscopy showed intermittent peripheral anterior synechiae in the RE and open angles with irregular pigment deposition in the LE. Intraocular pressure in the LE was normal without medication. There are reports of deposition of pseudoexfoliative material on intraocular lens implant post cataract surgery, and of early onset PXF syndrome after repeated intraocular procedures, but there is no published report of such deposits on ICL surface.
|Figure 1: (a) Right eye slit-lamp picture in undilated condition showing mid dilated pupil with well-centered implantable collamer lens implant in situ without any evidence of pseudoexfoliation. (b) Left eye pseudoexfoliation deposits on pupillary margin as seen on gonioscopic examination. (c) Left eye slit-lamp retro-illumination picture showing pseudoexfoliative material on implantable collamer lens surface. (d) Left eye magnified view of pseudoexfoliation deposits on implantable collamer lens surface|
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Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
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Conflicts of interest
There are no conflicts of interest.
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