Unusual after cataracts: A case series

Abstract

Posterior capsular opacification (PCO) or “after cataract,” a common complication after cataract surgery, occurs due to abnormal proliferation and differentiation of the residual lens epithelial cells in the capsular bag. It can significantly affect visual acuity and contrast sensitivity. Though it cannot be eliminated, meticulous surgery coupled with appropriate intraocular lens selection can definitely reduce the incidence of PCO, especially in young patients undergoing cataract surgery. A routine neodymium-doped yttrium aluminum garnet (Nd:YAG) capsulotomy can solve the problem easily in most of the patients, but some can have atypical presentations due to angle closure from Soemmering’s ring. The purpose of this report is to present unusual after cataracts and the utility of imaging techniques in the diagnosis of the same.