Imagem setembro 30, 2026 setembro 30, 2026

Membrana de pseudoesfoliação e luxação tardia espontânea de lente intraocular no saco capsular na síndrome de pseudoesfoliação

DOI: 10.37039/1982.8551.20260090

A 76 year-old woman presented with decreased visual acuity of the right eye. The patient has a known history of arterial hypertension and underwent surgery for bilateral cataracts 10 years prior. The best corrected visual acuity was 5/10 in the right eye and 10/10 in the left eye. Biomicroscopic examination revealed pseudoexfoliative fibrillar deposits attached to a pleated membrane on his lower nasal side (). This pseudoexfoliative membrane is attached to the anterior surface of the posterior chamber intraocular lens (IOL). The examination of the left eye showed white fleck-like particles circulating in front of the iris and in-the-bag IOL in place (). The intra-ocular pressure was within normal range, and fundus examination showed bilateral excavation at 5/10 in both eyes.

Five years later, the patient presented with a sudden spontaneous decrease in visual acuity in the left eye. The visual acuity of the left eye was limited to counting fingers. An inferior subluxation of the capsular bag and IOL was found (). The right eye examination was unchanged.

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