Management of posterior capsule rupture during phacoemulsification using the dry technique

Single-piece foldable acrylic intraocular lens implantation in the sulcus in eyes with posterior capsule tear during phacoemulsification

“…9 It is rarer in the initial stages (ie, CCC, hydrodissection) and mostly appears in the middle and final stages (ie, phacoemulsification, I/A and IOL implantation and polishing). 10,11 Mulhern and coauthors 12 with 49%, Osher and Cionni, 13 Pingree and coauthors 14 with 61%, Akura et al 15 with 62.5%, and Gimbel et al 16 reported that posterior capsule tear arose most frequently during phacoemulsification. In contrast, Basti and coauthors 17 and Cruz et al 18 with 72% reported that posterior capsule tear appeared more frequently during I/A.…”

Scheimpflug imaging of pediatric posterior capsule rupture

“…When PCT occurs, the extent of tear, amount of residual nucleus and cortex, and presence or absence of vitreous prolapse into the anterior chamber, are parameters that vary across patients. [9]…”

“…[4] Management using a clear corneal incision, phacoaspiration and PCIOL implantation in the capsular bag has also been well established now. [9]…”

Clinical application of 11-deoxycortisol in visualizing prolapsed vitreous body after posterior capsule rupture in cataract surgery

“…1 In some cases, this procedure was omitted depending on the conditions of the capsule tear and residual lens materials. Then, 0.2 to 0.5 mL of 11-DC suspension was injected into the anterior chamber through a corneoscleral wound using a 27-gauge blunt needle.…”

“…[1][2][3][4] Under these circumstances, prolapsed vitreous in the anterior chamber should be thoroughly removed; in particular, the vitreous strand stretching to the corneoscleral wound must be removed to prevent postoperative complications such as corneal edema, intraocular inflammation, retinal detachment, and cystoid macular edema. [2][3][4] Complete removal of the vitreous in the anterior chamber sometimes cannot be accomplished, however, because of the difficulty in directly recognizing the prolapsed vitreous body under the surgical microscope.…”