title: Early-onset Pseudoexfoliation Syndrome following Multiple Intraocular Procedures.
abstract: OBJECTIVE
  To present early-onset ocular manifestations of pseudoexfoliation syndrome in young patients who had undergone multiple intraocular procedures.
  
  
  METHODS
  This is an observational case series, introducing four cases with histories of multiple intraocular procedures for glaucoma.
  
  
  RESULTS
  All reported cases demonstrated typical manifestations of pseudoexfoliation unilaterally in the eye that had undergone multiple surgeries. The diagnosis of pseudoexfoliation was made prior to the age of 50 in all subjects and the earliest manifestation was at the age of 18 in a case with primary congenital glaucoma
  
  
  CONCLUSIONS
  The role of multiple surgical procedures, in addition to genetic predisposition, should be further investigated as a possible inciting factor predisposing to pseudoexfoliation in younger individuals.
authors.affiliation: Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Heydar
authors.initials: H
authors.lastname: Amini
authors.forename: Ramin
authors.initials: R
authors.lastname: Daneshvar
authors.forename: Yadollah
authors.initials: Y
authors.lastname: Eslami
authors.forename: Sasan
authors.initials: S
authors.lastname: Moghimi
authors.forename: Nima
authors.initials: N
authors.lastname: Amini