• Ruoxi Liu, Hongzhan Shao, Xiaoli Xu, and Shanshan Huang.
• Heilongjiang University of Chinese Medicine, The Second Affilated Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, China.
• Medicine (Baltimore). 2025 Jan 17; 104 (3): e41011e41011.

RationaleThe double-layer sign of the anterior lens capsule during continuous curvilinear capsulorrhexis (CCC) in cataract surgery is a rare phenomenon. This case report highlights the occurrence of this sign and provides a practical technique for managing it.Patient ConcernsA 55-year-old Chinese woman presented with blurred vision in her left eye. She had a history of nuclear sclerotic cataracts, but no abnormalities of the anterior capsule were noted in her preoperative evaluation.DiagnosesNuclear sclerotic cataract in the left eye with no preoperative abnormalities of the anterior lens capsule.InterventionsDuring CCC, a double-layer sign of the anterior lens capsule was identified. The surgeon successfully managed the double-layer sign by simultaneously grasping both layers with capsulorhexis forceps to complete CCC without complications.OutcomesPostoperatively, the patient achieved 20/20 vision in the treated eye, and no complications were observed.LessonsThe double-layer sign of the anterior lens capsule is a rare finding during cataract surgery. Although its exact cause remains unclear, the technique described offers a practical approach to manage this intraoperative challenge effectively.Copyright © 2025 the Author(s). Published by Wolters Kluwer Health, Inc.

17 keywords...

hide…