2001
DOI: 10.1016/s0021-5155(01)00415-4
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Double-Ring and Double-Layer Sign of the Anterior Lens Capsule During Cataract Surgery

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Cited by 12 publications
(6 citation statements)
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“…Propensity for delamination in this region may be exacerbated by laser peripheral iridotomy, which is usually performed in the peripheral third of the iris. In a similar case report by Abe et al,7 the patient had also undergone laser peripheral iridotomy in the same eye with the double-ring sign. As the splits were only present unilaterally in both our patients, we postulate that they were related to the argon-YAG laser peripheral iridotomies.…”
Section: Discussionmentioning
confidence: 67%
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“…Propensity for delamination in this region may be exacerbated by laser peripheral iridotomy, which is usually performed in the peripheral third of the iris. In a similar case report by Abe et al,7 the patient had also undergone laser peripheral iridotomy in the same eye with the double-ring sign. As the splits were only present unilaterally in both our patients, we postulate that they were related to the argon-YAG laser peripheral iridotomies.…”
Section: Discussionmentioning
confidence: 67%
“…Case series of splitting of the lens capsule with a double-ring sign seen at the capsular margins of a continuous curvilinear capsulorhexis during cataract surgery have been documented comprehensively in the literature 17. We compare the novel use of high-resolution spectral-domain optical coherence tomography (SD-OCT) devices to delineate the split.…”
Section: Introductionmentioning
confidence: 99%
“…Shinjoreported the double-ring sign in 16 eyes during a 7-month period of performing cataract surgeries [5]. Abe reported one patient with the double-ring sign in one eye among 300 patients who underwent capsulorhexis [1]. We encountered the double-ring sign in 5.5% of eyes (5.4% were our patients) during continuous curvilinear capsulorhexis.…”
Section: Discussionmentioning
confidence: 73%
“…In our series, the diagnosis of true exfoliation was made by recognizing the double-ring sign and/or the presence of a split or rolled-up anterior capsule, which was strongly associated with true exfoliation [ 1 , 5 , 6 , 9 , 10 , 11 ]. In 2 patients from our series, the anterior capsule had histological confirmation of the true exfoliation syndrome, with delamination and rolling up of the anterior capsule.…”
Section: Discussionmentioning
confidence: 99%
“…The presence of true exfoliation of the lens capsule typically increases the risk of capsule complications such as radial extension and radial tear [ 9 , 11 , 12 ]. In our case series, all cases of age-related true exfoliation syndrome had a good outcome from phacoemulsification and capsular implantation of the intraocular lens.…”
Section: Discussionmentioning
confidence: 99%