Effects of posterior capsular disruption on the outcome of phacoemulsification surgery.

Complicated posterior capsulorhexis: aetiology, management, and outcome

“…We observed, in the complicated PCCC series, two cases of clinically significant cystoid macular oedema, which spontaneously regresses over a period of 6 months. Other authors did not mention occurrence of cystoid macular oedema in their series 19. Chambless found an incidence of 7% in phacoemulsification cases complicated by posterior capsule disruption 20…”

Validation of two scoring systems for the prediction of posterior capsule rupture during phacoemulsification surgery

“…However, it should be borne in mind that, while posterior capsule rupture is undoubtedly associated with a poorer outcome in phacoemulsification surgery, 14 many patients have excellent visual outcome despite intraoperative posterior capsule rupture. 12 15 16 Also, other complications may occur, which may lead to adverse visual outcome such as wound leak, iris prolapse, suprachoroidal haemorrhage, or intraocular lens malposition. These potential adverse events may not be predicted using the potential complication scoring systems, but should be conveyed to the patient during consent.…”

Anterior chamber and sutured posterior chamber intraocular lenses in eyes with poor capsular support

“…1 Capsular rupture is noted to occur in approximately 0.9% of cases. 2 Posterior chamber intraocular lenses (PC IOLs) have been considered the standard of care, while anterior chamber intraocular lenses (AC IOLs) have long been associated with intraocular inflammation, pseudophakic bullous keratopathy, glaucoma, and lower visual acuity outcomes. [3][4][5] However, more recent studies have revealed a decrease in incidence of complications associated with redesigned, open-loop AC IOLs of the 1990s and beyond.…”