Thomas A. Oetting, MS, MD
This is an interesting video of a rare case of true exfoliation. The patient has no history of exposure to UV radiation or severe heat as is sometimes the case with true exfoliation. We use Trypan blue to define the capsule so that we do not peel just one layer of the capsule.
Additional Notes: See also the related case at the AAO Eyenet morning rounds section: http://www.aao.org/publications/eyenet/200807/am_rounds.cfm