With time the residual LECs proliferate to form Elschnig's pearls
or undergo metaplasia to myofibroblasts.
Among 22 cases with Elschnig's pearls, the initial laser power setting was used between 1 and 2 mJ in 18 cases and was enhanced to 2-3 mJ in 4 cases for an adequate capsulotomy.
Among 100 patients, 22 had Elschnig's pearls, 68 had moderate posterior capsular opacification and 10 had thick fibrotic posterior capsule.
Out of 92 eyes with PCO, 56 (60.90%) eyes had fibrous type of posterior capsular opacification in our study followed up by 15 (16.30%) eyes with Elschnig's pearls
. This is similar to the findings reported by Nagamoto and associate (23) who reported higher incidence of fibrosis type of PCO and reported it in every postoperative period.
They can form swollen, abnormal shaped lens cell called Elschnig's pearls
, which migrate over the posterior capsule into the visual axis12.