OCT of Anterior Capsular Opacification in the Visual Axis

An 89-year-old woman with history of unremarkable cataract surgery 20 years ago and nonexudative age-related macular degeneration presented with decreased vision. Slit lamp showed an opacity on retroillumination (Fig 1A). Anterior segment (AS) OCT demonstrated fibrotic material with translucent and opacified cystic spaces of varying sizes overlying the anterior surface of the lens (Fig 1B). Visual acuity improved from 20/200 to 20/80 after removal of the fibrosis by anterior vitrectomy. Postoperative AS-OCT confirmed the source of fibrosis as capsular material extending from the posterior iris onto the lens (Fig 1C).
Source: Ophthalmology - Category: Opthalmology Authors: Tags: Pictures & Perspectives Source Type: research