 
          
            19
          
        
        
          During cataract surgery, the cloudy lens is removed, and the capsular
        
        
          bag is maintained to contain the artificial lens. The lens capsule has
        
        
          two surfaces, the anterior and the posterior.
        
        
          A large, circular, central
        
        
          portion of the anteri-
        
        
          or capsule is removed
        
        
          during surgery (anterior
        
        
          capsulorhexis), but the
        
        
          posterior capsule is usu-
        
        
          ally kept intact and may
        
        
          be clouded by prolifera-
        
        
          tion of cells, which have
        
        
          remained in the bag after
        
        
          surgery.
        
        
          This clouding of the
        
        
          posterior lens capsule
        
        
          (which is sometimes re-
        
        
          ferred to as secondary
        
        
          cataract) may be appar-
        
        
          ent after a few months or
        
        
          years after surgery. This is
        
        
          called posterior capsule
        
        
          opacification (PCO) in the
        
        
          medical terminology, or
        
        
          ‘secondary cataract’ by
        
        
          the patients.
        
        
          The treatment for this is
        
        
          application of special la-
        
        
          ser (YAG laser).
        
        
          In Athens Eye Hospital
        
        
          we carry out both ante-
        
        
          rior and posterior capsu-
        
        
          lorhexis during cataract
        
        
          surgery, eliminating the
        
        
          likelihood of ‘secondary
        
        
          cataracts’ occurring.
        
        
          Does the cataract relapse?
        
        
          Posterior capsule
        
        
          opacification
        
        
          can appear months or years after
        
        
          cataract operation
        
        
          (blue arrow)
        
        
          Posterior capsulotomy with Yag-
        
        
          Laser.
        
        
          A non invasive procedure as
        
        
          an outpatient and performed in a few
        
        
          minutes. (purple  arrow)