University of Iowa Health Care

Ophthalmology and Visual Sciences

gonioscopy.org

Corneal Deposits - slit lamp only

In this video one can see pseudoexfoliative material on the corneal endothelium of this 63 year-old gentleman who has unilateral glaucoma with a peak intraocular pressure of 52 mmHg. These deposits look somewhat like keratic precipitates except if one studies them carefully it is possible to see that there is a movement in the aqueous. This means that these are not likely to be KP, which should be firmly adherent to the cornea, but more likely flakes of pseudoexfoliative material that are partially attached to the cornea and partially wafting in the aqueous.