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 Table of Contents  
OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 3  |  Page : 852

Cobweb primary posterior capsule opacification


Department of Cataract and IOL Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, Tamil Nadu, India

Date of Web Publication16-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
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_246_22

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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

How to cite this URL:
Chaudhary S, Prasad S, Shekhar M, Nagu K. Cobweb primary posterior capsule opacification. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Aug 19];2:852. Available from: https://www.ijoreports.in/text.asp?2022/2/3/852/351140



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 Top

1.
Vasavada AR, Chauhan H, Shah G. Incidence of posterior capsular plaque in cataract surgery. J Cataract Refract Surg 1997;23:798–802.  Back to cited text no. 1
    
2.
Ashraf KM. Primary posterior capsular opacification in hypermature white cataracts. J Cataract Refract Surg 2010;36:2211–2.  Back to cited text no. 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.  Back to cited text no. 3
    
4.
Joshi RS. Primary posterior capsular opacification in Indian rural population undergoing cataract surgery for hypermature senile cataract. Clin Ophthalmol 2013;7:1605–8.  Back to cited text no. 4
    


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