Rapidly Progressive Posterior Capsule Opacification After Reverse Optique Technique In Patients With Previous Negative Dysphotopsias

To report two cases of acute and rapidly progressive posterior capsule opacities (PCO) after cataract extraction (CE) and intraocular lens (IOL) placement via reverse optic technique (ROC) to prevent negative dysphotopsias (ND).

The 2 cases here reported were diagnosed and treated in the Bascom Palmer Eye Institute of the University of Miami

2 individuals were included (2 females; ages 70 and 73). Both surgeries were carried out using 3-piece lenses with silicone aspheric neutral optics placed using ROC technique, with no intra-op complications. In the first case, the BCVA was 20/25 at post-op day 1. The patient referred her vision declined at 3 days after surgery, which worsened by 2 weeks, with a BCVA of 20/100. A PCO was diagnosed, and a YAG capsulotomy was performed, resulting in a BCVA of 20/20. In the second case, the BCVA was 20/20 at 1-day post-op. The patient reported feeling “a film” in her eye, and her BCVA dropped to 20/60 by 2 weeks. A PCO was diagnosed, and a YAG capsulotomy was performed, achieving a BCVA of 20/20.

To the best of our knowledge, this is the first case series describing patients who developed posterior capsular opacification within two weeks of CE/IOL via ROC technique. This may be important when discussing early potential complications and managing patient expectations prior to surgery.