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Case Reports
. 2022 Mar 29;15(3):e248259.
doi: 10.1136/bcr-2021-248259.

Dynamic changes of Elschnig pearls posterior capsule opacification

Siti Farhah 'Adilah Basiron  1   2 , Adeline Mae Li Khaw  2 , Tun Wang Ch'ng  2 , Othmaliza Othman  3
Affiliations
Case Reports

Dynamic changes of Elschnig pearls posterior capsule opacification

Siti Farhah 'Adilah Basiron et al. BMJ Case Rep. .

Abstract

An adolescent female with underlying bilateral pseudophakia and idiopathic intermediate uveitis had reduced visual acuity due to posterior capsule opacification (PCO). The rapid progression and different morphological formations of Elschnig pearls were not influenced by the uveitis and immunosuppressive treatment. No capsulotomy was performed, and the PCO regressed spontaneously over time.

Keywords: anterior chamber; ophthalmology.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Retroillumination of the anterior segment of the right eye shows the Elschnig pearls. Note the formation of Elschnig pearls on the nasal side of the posterior capsule that progressed toward the visual axis. (A) 14 months postcataract surgery. (B) 14 months and 2 weeks postcataract surgery. (C) 15 months postcataract surgery. (D) 17 months postcataract surgery.
Figure 2
Figure 2
Retroillumination of the anterior segment of the left eye shows the Elschnig pearls. Note the formation of Elschnig pearls on the inferonasal and superotemporal sides of the posterior capsule, which gradually coalesce at the visual axis over a period of 3 months before resolving. (A) 14 months postcataract surgery. (B) 14 months and 2 weeks postcataract surgery. (C) 15 months postcataract surgery. ((D) 17 months postcataract surgery.
See this image and copyright information in PMC

References

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