The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Cortical remnants

Photo by Dr. Tan Aik Kah

This patient underwent a successful phacoemulsification and implant two weeks ago. At the follow-up, he complained that the vision was not as clear as immediately after the operation. Slit-lamp examination showed cortical remnants behind the intraocular lens. The cortex usually dissolved with time but could increase post-operative inflammation.

In patient whose vision is seriously affected, removal of the cortex via irrigation and aspiration is the best option.

 

Remnants of the cortex behind the intraocular lens.

 

A close-up view of the fluffy cortex.

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