Management of Posterior Capsule Tears

Vajpayee, Rasik B; Sharma, Namrata; Dada, Tanuj; Gupta, Vishal; Kumar, Atul; Dada, Vijay K

doi:10.1016/s0039-6257(01)00195-3

Cited by 92 publications

(66 citation statements)

References 93 publications

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“…[2][3][4] Slow motion phacoemulsification technique has been recommended to achieve better control by reducing the turbulence in the anterior chamber. 5,6 The aim of the surgical technique in such cases is not to overpressurize the anterior chamber or capsular bag, thereby to prevent posterior capsule rupture. 7 Hydrodissection is contraindicated and hydrodelineation alone is performed.…”

Section: Discussionmentioning

confidence: 99%

‘Layer by layer’ phacoemulsification in posterior polar cataract with pre-existing posterior capsular rent

Vajpayee

Sinha

Singhvi

et al. 2007

Eye

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Purpose To evaluate a new technique of 'Layer by Layer' phacoemulsification in eyes with posterior polar cataract with pre-existing posterior capsular rent (PCR). Methods Layer by layer phacoemulsification was performed in eight eyes of eight patients of posterior polar cataract with pre-existing posterior capsular rent. All the patients had evidence of a posterior capsular defect showing presence of iridescent refractile lens particles in vitreous with onion skinning of central dense plaque. Results The mean age of the patients was 43.7572.5 years and six patients were men. All the eyes had vertical posterior capsular defect irrespective of the site of entry of phaco probe. Vitrectomy was not required in any of the eyes. Single piece foldable acrylic intraocular lens was implanted in the bag in all the eyes. The mean preoperative best corrected visual acuity was 0.1470.05, which improved to 0.7770.27. Conclusion Our technique of 'Layer by layer' phacoemulsification is an effective and safe technique for the management of posterior polar cataract with pre-existing PCR.

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Section: Discussionmentioning

confidence: 99%

‘Layer by layer’ phacoemulsification in posterior polar cataract with pre-existing posterior capsular rent

Vajpayee

Sinha

Singhvi

et al. 2007

Eye

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“…Visual obscurations are common during pregnancy. 1 Photopsias, serous retinal detachments, blurred vision, and cortical blindness has been reported as complications in pre-eclamptic women. Most result in transient visual loss.…”

Section: Discussionmentioning

confidence: 99%

“…1 Indeed, PC rupture is one of the most common complications in cataract surgery especially in the initial stages of training, frequently resulting in herniation of vitreous into the anterior chamber. 2,3 Even though PC rupture is associated with a significant risk of reduced final visual outcome, 4 it has been shown that with prompt and appropriate management of the complications, good visual outcome is possible.…”

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confidence: 99%

Safe and effective visualisation of vitreous in the anterior chamber with intracameral fluorescein to facilitate its complete removal

Luo

Poole

Griffiths

2005

Eye

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anterior capsulorhexis contemplating ciliary sulcus fixation of IOL ( Figure 2b) and abandoning hydroprocedures. Use of the principles of close chamber technique 1 prevented vitreous loss and posterior segment complications. We routinely use single piece AcrySof IOL for sulcus fixation. In our experience, symmetry of the placement of this IOL is critical and not the bulk of the haptic. At the root of the iris the bulk and the square edge of the single piece haptic will not produce excessive irritation, as it is not mobile.In summary, this case emphasizes the importance of 'sinking cortex' sign in predicting PPCD in traumatic white mature cataracts for a suitable surgical strategy to achieve satisfactory technical and visual outcomes.

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“…Pars plana vitrectomy for the recovery of fragments can be carried out at the same time as primary surgery, thus avoiding a fresh operation, or delayed for a few days, so as to enable a better preoperative evaluation of possible posterior segment damage to be made [111].…”

Section: Retinal Damage During Cataract Surgerymentioning

confidence: 99%