Signs related to exfoliation syndrome
Adapted from Ritch.12 |
Diagnostic signs |
Exfoliative material on lens surface |
Suggestive signs |
Loss of papillary ruff |
Iris sphincter region transillumination |
Pigment whorl on iris surface at sphincter |
Pigment dispersion in anterior chamber following dilation in elderly patients |
Heavy trabecular pigmentation of trabecular meshwork in the elderly |
Alerting signs |
Phacodonesis in the absence of trauma in elderly patients |
Posterior lens subluxation in elderly patients |
IOP rise after pharmacological dilatation |
Marked asymmetry of IOP (>33%) in the absence of other obvious cause in the elderly |