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Arch Ophthalmol. 1999;117:397-398.

We describe a patient with Chandler's syndrome variant of the iridocorneal endothelial syndrome in whom ectopic Descemet's membrane was found intraoperatively on the anterior surface of the lens. Initially, the membrane was confused with the anterior lens capsule during extracapsular cataract extraction, leading to the performance of a pseudocapsulorrhexis. Electron microscopy disclosed that the epilenticular membrane was composed of multiple layers of abnormal basement membrane consistent with the iridocorneal endothelial syndrome.

Augusto Azuara-Blanco, MD, PhD; Richard P. Wilson, MD; Ralph C. Eagle, Jr, MD; Patricia A. Rafferty, BA, HT(ASCP)
From the Glaucoma Service (Drs Azuara-Blanco and Wilson) and the Department of Pathology (Dr Eagle), Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pa; Princess Alexandra Eye Pavilion, Edinburgh, Scotland (Dr Azuara-Blanco); and the Department of Pathology, The Pennsylvania Hospital, Philadelphia (Ms Rafferty).

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