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| OPHTHALMIC IMAGE |
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| Year : 2022 | Volume
: 2
| Issue : 3 | Page : 852 |
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Cobweb primary posterior capsule opacification
Sameer Chaudhary, Senthil Prasad, Madhu Shekhar, Kamatchi Nagu
Department of Cataract and IOL Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, Tamil Nadu, India
| Date of Web Publication | 16-Jul-2022 |
Correspondence Address:
Dr. Madhu Shekhar
Chief, Cataract and IOL Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_246_22
How to cite this article:
Chaudhary S, Prasad S, Shekhar M, Nagu K. Cobweb primary posterior capsule opacification. Indian J Ophthalmol Case Rep 2022;2:852 |
A 51-year-old male presented with defective vision oculus dexter (OD) with a best-corrected visual acuity (BCVA) of 6/60. Slit-lamp examination OD revealed nuclear sclerosis with posterior subcapsular cataract and a unique pattern of opacification involving the posterior capsule, resembling a cobweb [Figure 1]a, [Figure 1]b, [Figure 1]c. The patient underwent cataract surgery, and a diagnosis of primary posterior capsule opacification (PPCO) was made [Figure 1]d. | Figure 1: (a and b) Slit-lamp photograph with diffuse illumination showing reticular opacification with punctate opacities involving the posterior capsule. (c) Slit-lamp photograph with retro illumination showing posterior subcapsular cataract and punctate opacities. (d) Slit-lamp photograph with diffuse illumination, showing a similar pattern postoperatively
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PPCO is a common finding in long-standing cataracts, presenting as a plaque involving the center or the periphery of the posterior lens capsule. It is not always visually significant and can be managed with a deferred Nd: YAG capsulotomy.[1],[2],[3],[4]
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Vasavada AR, Chauhan H, Shah G. Incidence of posterior capsular plaque in cataract surgery. J Cataract Refract Surg 1997;23:798–802.  |
| 2. | Ashraf KM. Primary posterior capsular opacification in hypermature white cataracts. J Cataract Refract Surg 2010;36:2211–2. |
| 3. | Biró Z, Kereskai L, Tsorbatzoglou A, Vasavada AR, Berta A. Histological examination of primary posterior capsule plaques. J Cataract Refract Surg 2007;33:439–42. |
| 4. | Joshi RS. Primary posterior capsular opacification in Indian rural population undergoing cataract surgery for hypermature senile cataract. Clin Ophthalmol 2013;7:1605–8. |
[Figure 1]
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