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.