Elschnig pearl formation (Video)

This video shows a cluster of Elschnig pearls that have formed behind the lens after cataract surgery. These grape-like clusters form from residual lens epithelial cells that migrate along the remaining capsular bag. They can be seen with a microscope and are usually visually insignificant.

When epithelial cells form in the central visual axis, this is called a PCO (posterior capsular opacification) or after-cataract … and requires capsulotomy removal with a laser. You can see this central capsulotomy better in the photos below.

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elschnigpearls.wmv (4.0 meg, Windows video file)

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Elschnig Pearls
This picture shows a cluster of Elschnig pearls that have formed on the back surface of a cataract implant. These occur because of lens epithelial cells that are left behind after cataract extraction, that migrate along the cortex face. They rarely cause any visual problems and almost only can be seen under the microscope.
Elschnig bladder cells
These grape-like clusters are formed from residual lens epithelial cells that migrate along the remaining capsular bag.
YAG
A closeup … this eye has had a YAG
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Dr. Timothy Root is a practicing ophthalmologist and cataract surgeon in Daytona Beach, Florida. His books, video lectures, and training resources can be found at:

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