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 […]

We present the case of an 80-year-old patient diagnosed with severe pseudoexfoliation syndrome (PEX) in both eyes (OU), who underwent uneventful bilateral phacoemulsification with in-the-bag intraocular lens (IOL) implantation 10 years ago. However, 4 years postoperatively, the patient developed subluxation of the capsular bag-IOL complex in the left eye, attributable to the progressive zonular insufficiency characteristic of PEX. Consequently, the subluxated IOL was removed, and an iris-fixated lens was implanted. During follow-up, 6 years after the initial surgery, a similar […]