A 60 year old male gives history of cataract surgery 1 year back. He now complaints of diminished vision and on slitlamp examination the following finding are seen. What is the most likely cause of his loss of vision?

Ans. (b) After cataractRef: Kanski 7/e, p. 295-296In the image a PCIOL (behind the iris margin) can be seen and posterior to the PCIOL a fibrous opacification is seen, which can be inferred to be opacification of the posterior capsule of lens.Option a - Irvin Gass syndrome usually occurs 6-10 weeks after surgeryOption b - After cataract (posterior capsule opacification) is the most common late complication of uncomplicated cataract surgery. Presents with reducing visual acuity, contrast sensitivity impairment, glare and mono-ocular diplopia Option c - UGH syndrome occurs due to ACIOL (commonly)Option d - Endophthalmitis presents with Hypopyon, Vitreous inflammation, Circumcorneal congestion etc.