Sixteen eyes from 13 patients with exfoliation syndrome and normal int
raocular pressure, 17 eyes from 13 patients with exfoliation syndrome
and glaucoma, and 28 normal eyes from 20 patients without exfoliation
syndrome nor glaucoma were examined. The anterior chamber pigment disp
ersions after pupillary dilatation, anterior lens surface pigment part
icle, and angle pigmentation were significantly evident in Japanese pa
tients with exfoliation syndrome than the normal control, These signs
should serve as clues for the ophthalmologists to carefully look for e
xfoliation materials in Japanese. No evident differences were detected
in clinical signs between the exfoliation eyes with and without glauc
oma.