a. What is the diagnosis?.
The surface of the lens shows pinkish deposits on intact lens capsule.
The deposits have been described as resembling iron fillings on magnets.
They also occur on iris and the ciliary body.
b. Does this type of patient
need regular follow-up and why?.
Even if the intraocular pressure
is normal at the time of diagnosis, 60% of patients develop open
angle glaucoma in their life-time. This rise in the intraocular
pressure can occur rapidly. Regular follow-up for intraocular pressure
measurement is recommended.
Dandruff liked deposits on the pupil
Peripupillary atrophy with iris transillumination.
Pigment deposits on the iris (Sampaolesi's line refers to pigment deposit
at the level of Schwalbe's line on gonioscopy).
a. The pupil dilates poorly.
b. The zonule is unstable, zonulysis
and/or lens subluxation can occur during cataract extraction or
during lens implantation .