Simultaneous bilateral cataract surgery did not lead to an increased incidence of serious intraoperative or postoperative complications, and visual acuity results were good.

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Eight eyes in six consecutive Caucasian women who developed postoperative pupillary membrane in the visual axis were treated with a neodymium:YAG (Nd:YAG) laser using a peripheral quadrantic disruption technique. All patients had outpatient cataract extraction with or without trabeculectomy under local anesthesia. One patient had penetrating keratoplasty. In all cases, the pupillary membrane disappeared. Visual acuity improved to 6/6 except in two eyes, one in a patient with Down's syndrome, making it difficult to assess best corrected visual acuity, and the other in a patient with myopic macular changes. No significant complications occurred.

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