Puja Eye Hospital
Conditions

Pseudoexfoliation Glaucoma

A form of secondary glaucoma caused by pseudoexfoliation syndrome (PXF), where flaky material builds up on the lens and other structures inside the eye, gradually blocking normal fluid drainage. When glaucoma develops from this, it's sometimes referred to as pseudoexfoliative glaucoma (PXG).

What it is

A form of secondary glaucoma caused by pseudoexfoliation syndrome (PXF), where flaky material builds up on the lens and other structures inside the eye, gradually blocking normal fluid drainage. When glaucoma develops from this, it's sometimes referred to as pseudoexfoliative glaucoma (PXG).

Symptoms and warning signs

Usually no symptoms early on, like most glaucoma types. Can progress more rapidly and less predictably than primary open-angle glaucoma once it develops.

Causes / risk factors

More common with age, with some regional and genetic patterns. The underlying cause of pseudoexfoliation syndrome itself isn't fully understood.

How it's diagnosed

Identified on a slit-lamp exam, where the characteristic flaky material is visible, combined with standard glaucoma testing.

Treatment approach

Similar toolkit to open-angle glaucoma — drops, laser, or surgery — but often monitored more closely, since pressure here can be less stable.

Frequently asked questions

Pseudoexfoliation glaucoma can progress faster and less predictably in some patients, which is why closer monitoring is usually recommended once pseudoexfoliation glaucoma is identified.

Yes — pseudoexfoliation syndrome itself is sometimes visible on a routine exam before glaucoma develops, which is a useful early signal for closer monitoring.
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