Fibrillopathy in a pseudophakic eye. Production of fibrils by remnants of the lens capsule.

The ultrastructure of the lens capsule remnants in an eye with known fibrillopathy (pseudoexfoliation/exfoliation syndrome) subjected to an extracapsular cataract extraction (ECCE) and lens implantation 11 months earlier was examined. Lens epithelial changes typical in lenses with fibrillopathy were observed. The well-known fibrils radiated from pits in the lens epithelial cells, forming a deep layer in the lens capsule and the Busacca bushes on the capsule surface. It thus appears that the production of fibrillar material from lens epithelium may continue after ECCE and implantation of an intraocular lens. A possible connection between intracellular and extracellular fibrils was noticed.