True Exfoliation: Rarity of Degeneration

True exfoliation is the condition in which the anterior capsule layers are delaminated. This case report presents a woman in her 70s with cataract and age-related degenerative true exfoliation. Findings from anterior segment optical coherence tomography (ASOCT) demonstrated a lamellar separation of the anterior portion of the lens capsule typical of true exfoliation. Early recognition of the condition via preoperative and intraoperative ASOCT is vital for better surgical planning and delivery so as to avoid complications in capsulorhexis execution.