Cataract surgery is a routine ophthalmologic intervention resulting in replacement of the opacified natural lens by
a polymeric intraocular lens (IOL). A main postoperative complication, as a result of protein adsorption and lens
epithelial cell (LEC) adhesion, growth, and proliferation, is the secondary cataract, referred to as posterior capsular
opacification (PCO). To avoid PCO formation, a poly(ethylene glycol) (PEG) chemical coating was created on
the surface of hydrogel IOLs. Attenuated total reflectance Fourier transform infrared spectroscopy, “captive bubble”
and “water droplet” contact angle measurements, and atomic force microscopy analyses proved the covalent
grafting of the PEG chains on the IOL surface while keeping unchanged the optical properties of the initial
material. A strong decrease of protein adsorption and cell adhesion depending on the molar mass of the grafted
PEG (1100, 2000, and 5000 g/mol) was observed by performing the relevant in vitro tests with green fluorescent
protein and LECs, respectively. Thus, the study provides a facile method for developing materials with nonfouling
properties, particularly IOLs.