Title: True Exfoliation of the Lens Capsule: A Case Report
Authors: Dr Reena Kumari, Dr Dinesh Kumar Bhagat, Dr Param Shiv Gaur, Dr Chhabi Kedia, Dr Santosh Kumar
DOI: https://dx.doi.org/10.18535/jmscr/v4i10.36
True exfoliation is a rare disorder associated with delamination of the superficial or all layers of the anterior lens capsule, appearing as a transparent membrane in the anterior chamber. Although exposure to excessive heat, ocular trauma, glaucoma and intraocular inflammation are implicated as main causative factors, exact etiopathogenesis is not clear. We report a case of true exfoliation of lens in a patient who presented with progressive painless loss of vision in both eyes for the last 2 years and had history of occupational exposure of intense heat. Key Words: True exfoliation; lens capsule; cataract surgery. 1. Elschnig A, Detachment of the zonular lamellae in glassblowers. Klin Monatsbl Augenheilkd.1922;69732- 734 2. Theobold GD, Pseudo-exfoliation of the lens capsule. Am J Ophthalmol. 1954;371- 12. 3. Brodrick JD, Tate GW Jr: Capsular delamination (true exfoliation) of the lens. Report of a case. Arch Ophthalmol 1979; 97: 1693―1698. 4. Cashwell LF Jr, Holleman IL, Weaver RG, et al.: Idiopathic true exfoliation of the lens capsule. Ophthalmology 1989; 96: 348―351. 5. Sakai T, Bun J, Okubo K: A case of true exfoliation of the lens capsule. Atarashii Ganka (J Eye) 1992; 9: 1761―1764. 6. Schlötzer-Schrehardt U, Küchle M, Naumann GOH: Electron-microscopic identification of pseudoexfoliation material in extrabulbar tissue. Arch Ophthalmol 1991; 109: 565―570. 7. Lydahl E, Infrared radiation and cataract. Acta Ophthalmol Suppl. 1984;166:1-63Abstract
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