Phacoemulsification in True Exfoliation of the Lens Capsule
Narrative Responses:
Purpose
Report a case of true exfoliation of the crystalline lens in a 75-year-old men and the following cataract surgery technique
Methods
Phacoemulsification was performed in the right eye. Vision Blue was introduced and helps to clearly differentiate the CCC edge from true exfoliation, avoiding a partial-thickness cap- sulorhexis. Clinically, the capsule that was removed during the capsulorhexis appeared to be of normal thickness. Nucleus phacoemulsification using a divide-and-conquer technique was uneventful, and a Acrylic IOL was safely inserted in the capsular bag.
Results
The postoperative recovery was a little incidence in relation with concurrent and casual Descemet detachment during the surgery. At 2 month, with a treatment of steroids and hypertonic agents, the uncorrected Snellen visual acuity was 20/30 in the right eye. The capsulorhexis remained circular with minimal fibrosis, the posterior capsule was clear, and there was no evidence of exfoliation material on the capsule surface or in the anterior chamber.
Conclusion
True exfoliation of the lens capsule could masquerade as a partial capsulorrhexis and should be looked before capsulorrhexis to avoid creating a partial thickness capsulorrhexis and its related surgical complications.