Posterior lens capsular neovascularization in the absence of any risk factors

Abstract

Neovascularization of the posterior capsule after uncomplicated cataract surgery is a rare occurrence. This case entails a similar presentation, however, in the absence of any known predisposition. An 80-year-old male presented with painless progressive diminution of vision in his right eye after having undergone uncomplicated cataract surgery with good visual recovery 3 years back. He had a visual acuity of counting fingers close to face with accurate projection of rays with no further improvement. He was found to have posterior capsular opacification with capsular neovascularization. He was managed with intravitreal ranibizumab followed 2 weeks later by neodymium: yttrium-aluminum-garnet capsulotomy clearing the visual axis. His visual acuity improved; however, the best-corrected visual acuity was 6/60 due to an epiretinal membrane.