Unusual Presentation of Extensive Visually Significant Pseudoexfoliative Deposits on an Intraocular Lens Implant in a Pseudophakic Eye: Insights and Implications
Abdelwahab Aleshawi,1 Mohammad Ali Al Qudah,1 Hamad Alazmi,2 Ahmed Al Sharie,2 Haya Sufyan Elnagar Jnr,3 Hosni Alzoubi,1 Saad Almutairi,2 Seren Al Beiruti,1 Rami Al-Dwairi1 1Department of Special Surgery, Division of Ophthalmology, Faculty of Medicine, Jordan University of Science and Technology, Ir...
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Dove Medical Press
2025-03-01
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| Series: | Clinical Optometry |
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| author | Aleshawi A Al Qudah MA Alazmi H Al Sharie A Elnagar Jnr HS Alzoubi H Almutairi S Al Beiruti S Al-Dwairi R |
| author_facet | Aleshawi A Al Qudah MA Alazmi H Al Sharie A Elnagar Jnr HS Alzoubi H Almutairi S Al Beiruti S Al-Dwairi R |
| author_sort | Aleshawi A |
| collection | DOAJ |
| description | Abdelwahab Aleshawi,1 Mohammad Ali Al Qudah,1 Hamad Alazmi,2 Ahmed Al Sharie,2 Haya Sufyan Elnagar Jnr,3 Hosni Alzoubi,1 Saad Almutairi,2 Seren Al Beiruti,1 Rami Al-Dwairi1 1Department of Special Surgery, Division of Ophthalmology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, 22110, Jordan; 2Department of Ophthalmology, Ministry of Health, Kuwait City, 12009, Kuwait; 3Division of Ophthalmology, Department of Special Surgery, School of Medicine, The University of Jordan, Amman, 11942, JordanCorrespondence: Abdelwahab Aleshawi, Department of Special Surgery, Division of Ophthalmology, Faculty of Medicine Jordan University of Science and Technology, P. O. Box: 3030, Irbid, 22110, Jordan, Tel +962795355056, Fax +962 2 7201064, Email abdelwahhabjamal@yahoo.com Rami Al-Dwairi, Department of Special Surgery, Division of Ophthalmology, Faculty of Medicine Jordan University of Science and Technology, P. O. Box: 3030, Irbid, 22110, Jordan, Tel +962795355056, Fax +962 2 7201064, Email ramialdwairi@yahoo.comObjective: The aim of this report is to present a rare case of visually significant pseudoexfoliative deposition on an intraocular lens implant in a pseudophakic eye and describe the clinical characteristics, surgical approach, and histopathological characteristics.Case Presentation: We present the case of a 61-year-old male with a history of cataract surgery in the left eye who presented with blurry vision bilaterally. Examination of the left eye revealed a centered posterior-chamber intraocular lens implant (IOL) with extensive, visually significant pseudoexfoliative plaques growing over the entire IOL. The decision was made to perform right eye phacoemulsification and IOL implantation and left eye IOL exchange. The tissue specimens were subsequently processed using the classical histological technique of paraffin embedding. Intraocular surgery improved the visual acuity from 6/30 in the left and 6/60 in the right eye to 6/6 in both eyes at 3 months postoperative. The extracted implant was examined under a microscope and showed amyloid-positive deposits.Conclusion: This case highlights the importance of comprehensive examination for pseudoexfoliation, even in patients with pseudophakia. Visually significant PEX deposition was first reported and should be managed with caution.Keywords: pseudoexfoliation syndrome, IOL, glaucoma, iris-claw implants |
| format | Article |
| id | doaj-art-a3c77dbdbfa64b8c9d90f4b2c6d90751 |
| institution | OA Journals |
| issn | 1179-2752 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Dove Medical Press |
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| series | Clinical Optometry |
| spelling | doaj-art-a3c77dbdbfa64b8c9d90f4b2c6d907512025-08-20T01:54:57ZengDove Medical PressClinical Optometry1179-27522025-03-01Volume 17127131101653Unusual Presentation of Extensive Visually Significant Pseudoexfoliative Deposits on an Intraocular Lens Implant in a Pseudophakic Eye: Insights and ImplicationsAleshawi AAl Qudah MAAlazmi HAl Sharie AElnagar Jnr HSAlzoubi HAlmutairi SAl Beiruti SAl-Dwairi RAbdelwahab Aleshawi,1 Mohammad Ali Al Qudah,1 Hamad Alazmi,2 Ahmed Al Sharie,2 Haya Sufyan Elnagar Jnr,3 Hosni Alzoubi,1 Saad Almutairi,2 Seren Al Beiruti,1 Rami Al-Dwairi1 1Department of Special Surgery, Division of Ophthalmology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, 22110, Jordan; 2Department of Ophthalmology, Ministry of Health, Kuwait City, 12009, Kuwait; 3Division of Ophthalmology, Department of Special Surgery, School of Medicine, The University of Jordan, Amman, 11942, JordanCorrespondence: Abdelwahab Aleshawi, Department of Special Surgery, Division of Ophthalmology, Faculty of Medicine Jordan University of Science and Technology, P. O. Box: 3030, Irbid, 22110, Jordan, Tel +962795355056, Fax +962 2 7201064, Email abdelwahhabjamal@yahoo.com Rami Al-Dwairi, Department of Special Surgery, Division of Ophthalmology, Faculty of Medicine Jordan University of Science and Technology, P. O. Box: 3030, Irbid, 22110, Jordan, Tel +962795355056, Fax +962 2 7201064, Email ramialdwairi@yahoo.comObjective: The aim of this report is to present a rare case of visually significant pseudoexfoliative deposition on an intraocular lens implant in a pseudophakic eye and describe the clinical characteristics, surgical approach, and histopathological characteristics.Case Presentation: We present the case of a 61-year-old male with a history of cataract surgery in the left eye who presented with blurry vision bilaterally. Examination of the left eye revealed a centered posterior-chamber intraocular lens implant (IOL) with extensive, visually significant pseudoexfoliative plaques growing over the entire IOL. The decision was made to perform right eye phacoemulsification and IOL implantation and left eye IOL exchange. The tissue specimens were subsequently processed using the classical histological technique of paraffin embedding. Intraocular surgery improved the visual acuity from 6/30 in the left and 6/60 in the right eye to 6/6 in both eyes at 3 months postoperative. The extracted implant was examined under a microscope and showed amyloid-positive deposits.Conclusion: This case highlights the importance of comprehensive examination for pseudoexfoliation, even in patients with pseudophakia. Visually significant PEX deposition was first reported and should be managed with caution.Keywords: pseudoexfoliation syndrome, IOL, glaucoma, iris-claw implantshttps://www.dovepress.com/unusual-presentation-of-extensive-visually-significant-pseudoexfoliati-peer-reviewed-fulltext-article-OPTOpseudoexfoliation syndromeiolglaucomairis-claw implants |
| spellingShingle | Aleshawi A Al Qudah MA Alazmi H Al Sharie A Elnagar Jnr HS Alzoubi H Almutairi S Al Beiruti S Al-Dwairi R Unusual Presentation of Extensive Visually Significant Pseudoexfoliative Deposits on an Intraocular Lens Implant in a Pseudophakic Eye: Insights and Implications Clinical Optometry pseudoexfoliation syndrome iol glaucoma iris-claw implants |
| title | Unusual Presentation of Extensive Visually Significant Pseudoexfoliative Deposits on an Intraocular Lens Implant in a Pseudophakic Eye: Insights and Implications |
| title_full | Unusual Presentation of Extensive Visually Significant Pseudoexfoliative Deposits on an Intraocular Lens Implant in a Pseudophakic Eye: Insights and Implications |
| title_fullStr | Unusual Presentation of Extensive Visually Significant Pseudoexfoliative Deposits on an Intraocular Lens Implant in a Pseudophakic Eye: Insights and Implications |
| title_full_unstemmed | Unusual Presentation of Extensive Visually Significant Pseudoexfoliative Deposits on an Intraocular Lens Implant in a Pseudophakic Eye: Insights and Implications |
| title_short | Unusual Presentation of Extensive Visually Significant Pseudoexfoliative Deposits on an Intraocular Lens Implant in a Pseudophakic Eye: Insights and Implications |
| title_sort | unusual presentation of extensive visually significant pseudoexfoliative deposits on an intraocular lens implant in a pseudophakic eye insights and implications |
| topic | pseudoexfoliation syndrome iol glaucoma iris-claw implants |
| url | https://www.dovepress.com/unusual-presentation-of-extensive-visually-significant-pseudoexfoliati-peer-reviewed-fulltext-article-OPTO |
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