Abstract

VELAZQUEZ PINILLOS, Niurka María; PEREZ MARRERO, María Julia; RODRIGUEZ LOPEZ, Emérita Iliana  and  TIRADO GARCES, Cynthia María. Ocular pseudoexfoliation: an early warning signal in systemic diseases. Rev Cubana Oftalmol [online]. 2020, vol.33, n.4  Epub Feb 08, 2021. ISSN 1561-3070.

Pseudoexfoliation syndrome is an aging-related disease of worldwide distribution affecting people aged over 60 years. It is characterized by progressive production and accumulation of extracellular fibrillar material in the different structures of the eye, with significant impacts on the patients' ocular health. It may also lead to surgical complications. Pseudoexfoliative material is not only found in the eyeball, but also in various parts of the body, such as the heart, the lungs, the brain and blood vessels, this being the reason why some studies suggest a relationship to certain heart conditions. A case is presented of a male black 74-year-old patient with a history of arterial hypertension, admitted due to sudden vision loss in both eyes, accompanied by pain. The ophthalmological examination performed after hypotensive treatment confirmed the presence of pseudoexfoliative material and crystalline subluxated to the vitreous chamber. The diagnosis was pseudoexfoliation glaucoma, asymptomatic myocardial dysfunction, hyperlipidemia, abdominal aorta atheroma and severe neurosensory hypoacusis. Some studies suggest a relationship between pseudoexfoliation syndrome and certain vascular diseases and risk factors with a high impact on worldwide morbidity and mortality.

Keywords : Ocular pseudoexfoliation; systemic diseases; secondary glaucoma.

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