Introduction: True exfoliation of lens capsule is a relatively rare disorder that has a thin, fluttering membrane in the anterior chamber, mainly located in the pupil area, which is believed to have split from the anterior lens capsule.
Case report: The authors present here a patient with true exfoliation and primary angle closure glaucoma in both eyes, the ultrastructure of one eye revealed that the delaminated membrane was composed of more than two layers in itself.
Conclusion: Lens capsule true exfoliation could happen in patient with primary angle closure glaucoma, with more than two layers in itself.