Anterior capsule opacification spanning the anterior surface of an AcrySof intraocular lens

We present a case of linear anterior capsule opacification bridging the anterior surface of an AcrySof® intraocular lens (IOL) (Alcon Laboratories). A 75-year-old woman had uneventful cataract extraction and in-the-bag IOL insertion. Before implantation, the IOL was folded with a holding and an implantation forceps. The formation of a capsule bridge was observed on routine examination 20 days postoperatively. The bridge spanned the IOL parallel to the fold along the central axis, where the forceps had grasped the IOL. The bridge did not grow or regress for 24 months after surgery. The formation of the bridge along the fold might have been facilitated by a minute, undetected structural change in the AcrySof IOL created during folding.