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elschnig pearls
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elschnig pearls

The material observed in my eyes that one doctor identifed as retained lens cortex is now believed to be white scar tissue on the capsulotomy margin superimposed over significant elschnig pearls. I think this is good news because I dont't think this type of material can contribute to macular edema. ( That was the big concern because... I've had lots of problems in my left eye with CME in the 2 years since my Crystalens CLE.) Am I correct?

Additional question: Does this stuff grow back if removed?  Has it occured to anyone to ask this question: If Crystalens movement is restricted by elschnig pearls, could elschnig pearl removal with IOL exchange allow the Crystalens to function as it is designed to do??? While I might not try this in the left due to my complications, could I try this in the right eye?
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It sounds like you have both retained cortex and elschnig pearls.  Lens cortex can be removed early postoperatively but after a while it scars up is not easily removed.  Basically, it is almost impossible to "remove" either since they are essentially one with your lens capsule.  It's really almost a moot point since at two years out and after 2 or 3 surgeries, it is not going to be able to be removed, most likely.

MJK MD
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