# True Exfoliation: Rarity of Degeneration

## TL;DR

This case report describes a 70-year-old woman with cataract and true exfoliation, highlighting the importance of early detection using ASOCT to prevent surgical complications.

## Contribution

The paper emphasizes the use of ASOCT for early recognition of true exfoliation in preoperative and intraoperative settings.

## Key findings

- ASOCT revealed lamellar separation of the anterior lens capsule in a patient with true exfoliation.
- Early detection of true exfoliation is crucial for effective surgical planning and avoiding complications during capsulorhexis.

## Abstract

True exfoliation is the condition in which the anterior capsule layers are delaminated. This case report presents a woman in her 70s with cataract and age-related degenerative true exfoliation. Findings from anterior segment optical coherence tomography (ASOCT) demonstrated a lamellar separation of the anterior portion of the lens capsule typical of true exfoliation. Early recognition of the condition via preoperative and intraoperative ASOCT is vital for better surgical planning and delivery so as to avoid complications in capsulorhexis execution.