Secondary open-angle pigmentary glaucoma resulting from pseudophakia. Case report.

PURPOSE To report the case of a 60-year-old man with a pseudophakia-related secondary open-angle pigmentary glaucoma without individual hereditary steroid susceptibility. METHODS The clinical and functional evaluations of the patient were thoroughly and specifically carried out. RESULTS The unilateral pseudophakic open-angle pigmentary glaucoma occurred in the context of rubbing of the haptics and optic of a posterior chamber intraocular lens implanted in the sulcus, against the posterior surface of the iris, with resultant pigment dispersion, trabecular inflammation, and aqueous outflow obstruction. CONCLUSIONS Although the clinical picture of our case was very similar to that of pigmentary glaucoma, the distinction between the two conditions was still quite easy, considering that pigmentary glaucoma is a bilateral disorder predominantly affecting young myopic men with Krukenberg spindle and increased incidence of steroid responsiveness.