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  • Title: [Combined true exfoliation and pseudoexfoliation of the anterior lens capsule].
    Author: Küchle M, Iliff WJ, Green WR.
    Journal: Klin Monbl Augenheilkd; 1996 Feb; 208(2):127-9. PubMed ID: 8648988.
    Abstract:
    BACKGROUND: True exfoliation of the lens capsule is rare, and its occurrence with pseudoexfoliation in the same eye is very unusual. CASE REPORT: An 81-year-old female presented with bilateral cataracts and a history of working with ceramics in her home kiln. Slit-lamp examination revealed pseudoexfoliation. She underwent intracapsular cataract extraction and sector iridectomy in both eyes. Light and electron microscopy of the lenses revealed a central area of splitting of the anterior lens capsule into a thin anterior and a thicker posterior layer, and deposits pseudoexfoliation material on the anterior lens capsule, on the iris pigment epithelium, and in the iris stroma. CONCLUSIONS: We interpret our findings as representing a combination of true exfoliation and pseudoexfoliation, but we did not observe any signs that might indicate a correlation or a common pathogenesis of the two conditions. Although they may occur in one eye, true exfoliation of the lens capsule and pseudoexfoliation are two unrelated distinct entities.
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