An elderly patient presents with white dandruff-like deposits on the anterior lens capsule seen on slit-lamp examination. What is the most likely diagnosis?
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White flaky or dandruff-like material on lens capsule in elderly = pseudoexfoliation syndrome.
Concept:
Pseudoexfoliation syndrome is characterized by deposition of whitish flaky material on the anterior lens capsule, pupillary margin, and other anterior segment structures. It is common in elderly patients and is associated with secondary open-angle glaucoma.
Step 1: Identify the slit-lamp finding.
The key phrase is:
\[
\text{White dandruff-like deposits on anterior lens capsule}
\]
Step 2: Connect with the diagnosis.
This appearance is classic for:
\[
\text{Pseudoexfoliation syndrome}
\]
Step 3: Recall clinical importance.
Pseudoexfoliation can block trabecular meshwork and increase intraocular pressure, causing glaucoma.
Therefore, the correct answer is Pseudoexfoliation syndrome.
