Capsular exfoliation is typically bilateral. The anterior capsule is affected within the papillary region. The edge of the detachment lies peripherally, behind the iris. The rupture of the capsule occurs approximately concentric with the pupil, and the free edges of the central flap curl forward.
Reference: Callahan A, Klein BA. Thermal detachment of the anterior lamella of the anterior lens capsule. Arch Ophthalmol. 1958;59(1):73-79.
A look at the past . . . Arch Ophthalmol. 2009;127(3):310. doi:10.1001/archophthalmol.2008.590
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