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).
Braude LS, Edward DP. Pseudocapsulorrhexis. Arch Ophthalmol. 1999;117(12):1668. doi: