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This patient was sent to our clinic for a fundus fluorescein angiogram of a left central retinal vein occlusion with secondary rubeosis iridis. Following the angiogram, a series of slit-lamp photographs were taken in order to document rubeosis, pseudoexfoliation of the lens and cataract.
This LOCS III series image shows a slit-beam cross section of the cystalline lens, which exhibits nuclear sclerosis. White marks on the anterior surface of the lens and a line extending into the anterior chamber represent flakes of pseudoexfoliative material, while the fluorescent green hue of the aqueous is due to leakage of sodium fluorescein dye into the anterior chamber.
Coloration of the anterior chamber is routinely observed following an angiogram but, in this instance, was increased by rubeosis iridis and the leaky abnormal new vessels on the surface of the iris.