Two cases of true exfoliation of the lens capsule after cataract surgery
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Updated: Jul 16, 2026

Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
Published on: July 7, 2023
Hideaki Oharazawa1, Hisaharu Suzuki, Hironori Matsui
1Department of Ophthalmology, Nippon Medical School. hideaki@nms.ac.jp
Abstract:
True exfoliation of the lens capsule is known to be associated with glassblower's cataract, which is caused by extended exposure to excessive heat. Furthermore, inflammation and trauma are also considered to be predisposing factors. We report two cases of true exfoliation that were confirmed after cataract surgery. Neither patient exhibited true exfoliation before cataract surgery. In addition, neither patient had a history of occupation with exposure to excessive heat, inflammation or trauma. We observed the anterior lens capsules of these two patients with slit-lamp microscopy before and after cataract surgery. True exfoliation disappeared by adhering to the anterior capsule in both cases, and there were no complications during the observation period.

