Pseudoexfoliation and Opacification of Intraocular Lenses

Purpose: To report two cases of spoke-like intraocular lens (IOL) opacification that resembles pseudoexfoliation of the crystalline lens. Methods: Case series presentation. Results: Patient 1 developed a circle of spoke-like opacification on the anterior IOL surface7 years after phacoemulsification. Patient 2 had paracentral anterior surface IOL opacification 18 months after cataract extraction and clinical pseudoexfoliation in the fellow eye. Conclusion: Spoke-like anterior IOL opacification should raise the suspicion of pseudoexfoliation syndrome