SD OCT Imaging of True Exfoliation of Lens Capsule

Authors

  • Shaik Mohammed Zakir Assistant Professor, AMUIO Author
  • Farha Javed Junior Resident; Senior Resident, AMIIO, Aligarh Author
  • Shariq Wadood Khan Junior Resident, Department of Microbiology, Aligarh Muslim University Author
  • Ahmad Abdullah Senior Resident, AMUIO Author
  • Ziaul Haq Yasir DNB Fellow, Vivekanand Polyclinic & Institute of Medical Sciences, Lucknow Author

DOI:

https://doi.org/10.21276/475x0h76

Keywords:

Exfoliation, Lens, SD OCT

Abstract

True exfoliation is associated with delamination of superficial or all layers of lens capsule appearing as a transparent membrane in anterior chamber. Exact etiopathogenesis is not clear. Most of the cases are idiopathic but exposure to intense heat, ocular trauma, intra ocular inflammation, glaucoma etc.; are implicated as main causative factors. We are reporting the SD OCT and histopathological findings in a case of bilateral true exfoliation of lens in a 70 year old female who was a known case of open angle glaucoma with age related cataract (OU). The condition is rare and is easily missed. We suggest SD OCT in all such cases as we believe True exfoliation has been under detected and under reported.

Downloads

Download data is not yet available.

References

Elschnig A. Detachment of the zonular lamella in glassblowers. Klin

Monbl Augenheilkd. 1922; 69:732-4.

Teekhasaenee C. Current concepts in true exfoliation syndrome. Journal

of Glaucoma. 2018;27:S105-10

True Exfoliation Syndrome. Ophthalmology and visual sciences. Last

access on 10-10-23. Available at

https://webeye.ophth.uiowa.edu/eyeforum/cases/262-true-exfoliationsyndrome.htm

Yamamoto N, Miyagawa A. True exfoliation of the lens capsule following

uveitis. Graefes Arch Clin Exp Ophthalmol 2000; 238:1009-10.

Anderson IL, Van Bockxmeer FM. True exfoliation of the lens capsule. A

clinicopathological report. Aust N Z J Ophthalmol 1985; 13:343-7.

Cashwell LF, Holleman IL, Weaver RG, van Rens GH, Idiopathic true

exfoliation of the lens capsule. Ophthalmology. 1989; 96:348-351.

Wong AL, Chan TC, Fong AH, Lam BN, Yeun HK. Clinical characteristics

and surgical outcomes of phacoemulsification in true exfoliation

syndrome. J Cataract Refract Surg 2014; 40:82-6.

Ng AL, Marcet MM, Lai JS, Yeung JC. Age related true exfoliation of the

lens capsule: Phacoemulsification surgery results. Case Rep

Ophthalmol. 2015; 6:401-407.

Carole A. Cooke, Dennis J. Lum, Catherine E. Wheeldon, Heng Teoh,

Charles N. McGhee. Surgical approach, histopathology, and

pathogenesis in cataract associated with true lens exfoliation. Journal of

Cataract & Refractive Surgery .2007; 33:735-738.

Tan DK, Aung T, Perera SA. Novel method of assessing delamination of

the anterior lens capsule using spectral-domain optical coherence

tomography. Clinical Ophthalmology. 2012:945-8.

Downloads

Published

18.03.2024

Issue

Section

ORIGINAL ARTICLES ~ Ophthalmology