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  1. This condition is also called a “posterior capsular opacification” (PCO) or “opacification of the posterior capsule” (OPC).

    After cataracts are extremely common after surgery. New implant designs have decreased the rate of formation, however. By making the back edge of the implant optic have a sharper edge, this is supposed to theoretically decrease the migration of lens epithelial cells along the posterior capsule.

    During cataract surgery, I typically spend some time “polishing” the inner capsule in an attempt to decrease the number of left-over epithelial cells. I’m not sure how effective this really is, but I do it anyway in case this decreases the need for a future YAG.

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