Realini T, et al. - In Afro-Caribbean eyes with primary open-angle glaucoma (POAG), researchers described changes in nuclear, cortical, and posterior subcapsular lens opacities after selective laser trabeculoplasty (SLT). Seventy-two patients (142 phakic eyes) were assessed in this prospective case series. Data reported that the mean (± SD) baseline LOCS III opacity scores in right eyes and left eyes, respectively, were 2.44 ± 1.23 and 2.40 ± 1.16 (nuclear), 0.39 ± 1.08 and 0.30 ± 0.85 (cortical), and 0.22 ± 0.59 and 0.15 ± 0.36 (posterior subcapsular). Findings suggested no association of selective laser trabeculoplasty with clinically significant changes in nuclear, cortical, or posterior subcapsular lens opacities in glaucomatous Afro-Caribbean eyes. The rate of cataract surgery is consistent with the reported rates in the Caribbean and non-Caribbean populations from longitudinal natural history studies.