Meteor shower

A 55-year-old male presented with complaints of blurring of vision in the right eye for 3 months. He underwent right eye cataract surgery 1 year ago (acrylic hydrophobic IOL). On slit-lamp examination, patient had an unusual pattern of posterior capsule opacification (PCO) – diffuse white dots amidst dendrite-like fibers resembling a meteor shower in the dark sky. PCO has a prevalence of about 50% (at 5 years) after cataract surgery.[1] PCO results from growth and transdifferentiation of lens epithelial cells. Equatorial differentiation leads to Soemmerring's ring, cell swelling causes Elschnig's pearls formation.[2] This is an unusual presentation described above [Fig.1].Figure 1: Right eye on diffuse illumination (a) and retro illumination (b) shows diffuse white dot-like posterior capsule opacification resembling a meteor shower in the dark skyDeclaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Financial support and sponsorship: Nil. Conflicts of interest: There are no conflicts of interest.