An 18-year-old female with underlying idiopathic intermediate uveitis developed cataract. She had an uneventful lens aspiration and intraocular lens implantation (IOL) surgery. Two years after the surgery, her vision deteriorated due to posterior capsule opacity (PCO). The rapid progression of PCO from Figure 1a to 1b occurred over a period of 2 weeks.

An adolescent female with underlying bilateral pseudophakia and idiopathic intermediate uveitis had reduced visual acuity due to posterior capsule opacification (PCO). The rapid progression and different morphological formations of Elschnig pearls were not influenced by the uveitis and immunosuppressive treatment. No capsulotomy was performed, and the PCO regressed spontaneously over time.