Loss of iridolenticular contact in eyes with exfoliation syndrome may protect against glaucoma.
OBJECTIVE
To provide evidence for the hypothesis that dynamic iridolenticular contact predisposes to the development of glaucoma in exfoliation syndrome (XFS).


METHODS
We present four patients with bilateral XFS and unilateral exfoliation glaucoma (XFG) whose normotensive eyes had suffered traumatic loss of dynamic iridolenticular contact.


RESULTS
All 4 patients had bilateral XFS and developed XFG only in the untraumatized eyes. One patient had loss of iridolenticular contact in the traumatized eye, two had a nonreactive pupil, and one had had intracapsular cataract extraction at age 28.


CONCLUSIONS
Loss of dynamic iridolenticular contact may help to protect against development of glaucoma in eyes with XFS.
Konstas
A G
AG
University Department of Ophthalmology, Thessaloniki, Greece. konstas@med.auth.gr
Diafas
S
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017889:Exfoliation Syndrome / Q000150:complications* / Q000473:pathology; D015807:Eye Injuries, Penetrating / Q000601:surgery; D005500:Follow-Up Studies; D005902:Glaucoma, Open-Angle / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D007499:Iris Diseases / Q000209:etiology* / Q000473:pathology; D007905:Lens Diseases / Q000209:etiology* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D000267:Tissue Adhesions / Q000209:etiology; D014129:Trabecular Meshwork / Q000473:pathology