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Ophthalmic Images

Fish-net posterior capsular opacification

A newer variant

Agarwalla, Isha; Bhattacherjee, Harsha; Chiraniya, Palak; Garg, Mohit

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Indian Journal of Ophthalmology: October 2020 - Volume 68 - Issue 10 - p 2258
doi: 10.4103/ijo.IJO_643_20
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A 60-year-old pseudophakic male presented with diminution of vision in both his eyes. Diffuse slit-lamp biomicroscopic examination revealed uniform reticular fibers behind the IOL surface interwoven in a fish-net like pattern with intermittent pin-point opacification. This grid-like opacification was evenly carpeted in both horizontal and vertical meridia [Fig. 1]. Residual epithelial cells were known to cause regenerative and fibrotic posterior capsular opacification (PCO).[1] However, this fish-net pattern of diffuse PCO is unusual in occurrence and is novel documentation.

Figure 1:
A-uniform reticular fibers behind the IOL surface interwoven in a fish-net like pattern; B-intermittent pin-point opacification between the reticular fibers

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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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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There are no conflicts of interest.


1. Findl O, Neumayer T, Hirnschall N, Buehl W. Natural course of elschnig pearl formation and disappearance Invest Ophthalmol Vis Sci. 2010;51:1547–53
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