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December 1999


Arch Ophthalmol. 1999;117(12):1668. doi:

We read with great interest the article by Azuara-Blanco et al1 in the March issue of the ARCHIVES regarding the creation of a pseudocapsulorrhexis in a case of Chandler syndrome with ectopic basement membrane–like material. However, we would like to point out that a "pseudo" or partially split capsulorrhexis has been described by splitting of a normal lens capsule during the procedure, giving rise to the "double-ring" sign after a complete or partial capsulorrhexis.2 The presence of a double ring sign may necessitate a deeper puncture of the partially split anterior capsule to complete the anterior capsulorrhexis for hydrodissection and cataract extraction (Kevin Sullivan, MD, written communication, November 1997).

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