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Capsular delamination of the crystalline lens and iridoschisis

Published:April 01, 2020DOI:https://doi.org/10.1016/j.jcjo.2019.12.002
      Capsular delamination or true exfoliation of the lens is a relatively rare disorder and describes a condition in which there is a thin, fluttering capsular membrane on the anterior surface of the lens. Slit-lamp microscopy of an 81-year-old man shows localized superior iridoschisis and dense cataract with a circular scrolled leaf of the anterior capsule floating in the anterior chamber (Fig. 1A). The intraocular pressure was 23 mm Hg. Anterior segment image of swept-source optical coherence tomography clearly shows the splitting of the superficial lamella with an attached floating flap waving in the anterior chamber (Fig. 1B).
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