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Double-ring and double-layer sign of the anterior lens capsule during cataract surgery. Export

Japanese journal of ophthalmology, Vol. 45, No. 6. (c 2001), pp. 657-658.

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exfoliation true

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BACKGROUND: Splitting of the lens capsule with a double-ring contour during continuous curvilinear capsulorrhexis has not often been reported. CASE: An 86-year-old woman underwent phacoemulsification cataract extraction with intraocular lens implantation in the right eye. Preoperatively, the anterior lens capsule appeared normal. OBSERVATIONS: A double-ring sign was observed during capsulorrhexis. During intraocular lens implantation, the capsule developed radial tears, and a double layer of the capsule was noted. The patient's postoperative course was uneventful. CONCLUSIONS: The findings in our patient may be uncommon and may differ from but resemble true exfoliation.


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