Conclusion
- Pigment deposition on the posterior lens is an uncommon but easily detectable presentation of PDS.
- All PDS patients have increased risk of developing pigmentary glaucoma and should be followed as strong glaucoma suspects.
- Such findings should prompt the examiner to look for more subtle signs of PDS such as iris transillumination defects, Krukenberg’s spindle, and pigment in the trabecular meshwork.
- With ultra-widefield imaging alone, this finding may be misinterpreted as pathology in the vitreous or retina. Thus, any suspected retinal lesion found on screening retinal photographs should be examined with dilated fundus examination.