Case Reports

Case of spontaneous bilateral subluxation of PCIOL after 10 years due to pseudoexfoliation syndrome

Case Report Details

First Author: A.Agrawal INDIA

Co Author(s):    K. Agrawal   S. Agrawal                 

Abstract Details

Purpose:

To report a rare case of spontaneous bilateral subluxation of PCIOL after 10 years due to pseudoexfoliation syndrome.

Setting:

A tertiary care eye hospital in North India.

Report of Case:

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. The PCIOL was explanted and Anterior Chamber lens was implanted to restore normal vision for the patient.

Conclusion/Take Home Message:

Pseudoexfoliation causes weakening of zonules which leads to subluxation of Crystalline lens and PCIOL. This subluxated PCIOL has to be explanted and a secondary IOL implantation is required to restore the vision of the patient.

Financial Disclosure:

None