Fig. 131. The edge of this large anterior capsular remnant (created by a small CCC) has become thickened and fibrotic, and the optic has been squeezed slightly superior. These features are more common in silicone IOLs but in this case is seen in a single-piece acrylic IOL because of the generous anterior capsular remnant. The patient's other eye has a larger diameter CCC and a more normal “acrylic reaction” without the edge thickening and optic displacement. (Courtesy of James A. Davison, MD, Wolfe Eye Clinic, Marshalltown, IA.)