Posterior capsule opacification (PCO) is by far the most common complication of cataract surgery, with a reported incidence of 10% to 50%.^1,2 Primary posterior continuous curvilinear capsulorhexis (PCCC) has been employed to prevent PCO,^3–6 based on the theory that removing the scaffold for the migration of lens epithelial cells will provide a permanently clear optical zone.

Case reports

We prospectively recruited 48 emmetropic patients with senile fibrous posterior capsular cataracts, but the decision to perform PCCC was made intraoperatively after attempts to remove the fibrotic plaques were unsuccessful. All patients gave informed consent and ethics committee approval was obtained for the study. The mean age of the patients was 73 years. All patients had negative ocular and systemic history. Complete ophthalmic examination and central macular thickness (CMT) was recorded on …