Unilateral pseudoexfoliation in two young patients with history of Iris trauma and associated intraocular surgery

Purpose: To report two young patients with unilateral pseudoexfoliation (PEX) syndrome Case reports: Two young patients with PEX syndrome were examined. The first was a 30-year-old woman who had a history of penetrating ocular trauma with iris prolapse in the right eye that subsequently developed PEX on pupillary border and anterior lens capsule. The second was a 13-year-old girl with history of trabeculectomy in infancy and subsequent needle bleb revision in her right eye with PEX on anterior lens capsule. In both patients history of iris manipulation in the form of iridectomy was present. The time between ocular trauma or surgery with iris manipulation and detection of PEX were 16 and 11 years, respectively. Conclusion: According to a few previous reports of occurrence of PEX in young patients and surgical histories of our patients, there may be a role for ocular and particularly iris trauma in the development of PEX in younger patients.