Novel method of assessing delamination of the anterior lens capsule using spectral-domain optical coherence tomography

Abstract

Deborah KL Tan,1 Tin Aung,1–3 Shamira A Perera1,21Singapore National Eye Centre, Singapore; 2Singapore Eye Research Institute, Singapore; 3National University of Singapore, Yong Loo Lin School of Medicine, SingaporeBackground: Delamination of the anterior lens capsule producing a double-ring sign during continuous curvilinear capsulorhexis is commonly associated with true exfoliation syndrome.Methods: Previous studies have concentrated on light- and transmission-electron microscopic features and correlated this with the histopathology of these anterior capsules. To our knowledge, this is the first report of the use of high-resolution spectral-domain optical coherence tomography to delineate delamination of the anterior lens capsule, incidentally detected during cataract surgery.Keywords: anterior lens capsule, delamination, curvilinear capsulorhexis, exfoliation syndrome, high-resolution spectral-domain optical coherence tomography