Prevention and Management of Posterior Capsule Rupture

Traianidis, P.; Sakkias, Georgios; Avramides, S

doi:10.1177/112067219600600406

Cited by 4 publications

(2 citation statements)

References 4 publications

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“…[1][2][3]9 Experienced surgeons tend to have much lower complication rates, with a vitreous loss rate of 0.53% to 1.63%. 10,11 To date, no study has demonstrated which stage of the phacoemulsification procedure young surgeons find the most difficult. This study aimed to examine trainees' subjective difficulty rating during each stage of the phacoemulsification procedure.…”

mentioning

confidence: 98%

Subjective difficulty of each stage of phacoemulsification cataract surgery performed by basic surgical trainees

Dooley

O’Brien

2006

Journal of Cataract and Refractive Surgery

135

100

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mentioning

confidence: 98%

Subjective difficulty of each stage of phacoemulsification cataract surgery performed by basic surgical trainees

Dooley

O’Brien

2006

Journal of Cataract and Refractive Surgery

135

100

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“…Previous studies have reported a visual acuity better than 6/18 in 65%–90% of cases that were managed by standard microsurgical techniques. [ 20 21 22 23 24 ] Inadvertent posterior capsule rupture can occur in any stage of the surgery and continuation of surgery without vitreous loss management can in some cases lead to irreversible damage. Timely recognition and early preventive and conservative strategies to retrieve and prevent fragments from dropping can go a long way in the management of vitreous loss.…”

Section: Discussionmentioning

confidence: 99%

Incidence of vitreous loss and visual outcome following cataract surgery by surgeons with various levels of experience at a tertiary eye care center in North India

Sharma

Bharti

Pegu

et al. 2022

Indian J Ophthalmol

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Purpose: To determine the incidence of vitreous loss and visual outcome after a vitreous loss during cataract surgery performed by surgeons with various levels of experience in adults >40 years of age at a tertiary eye care center in North India. Methods: The study was conducted at a tertiary eye care center in North India. This was an observational, retrospective, cross-sectional study of patients who underwent cataract surgery from August 1, 2011 to July 31, 2014. All adult cataract cases who were operated on from August 1, 2011 to July 31, 2014 and who experienced vitreous loss during their surgery were included in the study. The visual outcomes of these patients who experienced vitreous loss during cataract surgery in uncomplicated cataract and were managed using standard automated vitrectomy techniques were assessed for different cataract surgical techniques (extracapsular, small-incision, and phacoemulsification) as well as at different levels of skill of the operative surgeon (consultant, short term fellow, and long-term fellow). Details of the postoperative period and best-corrected visual acuity (BCVA) were collected from patient records by the principal investigator on day 1, 1 week, 4 weeks, 6 weeks, and 3 months post cataract surgery. Results: Vitreous loss occurred in 374 out of 18,430 patients who underwent cataract surgery from August 1, 2011 to July 31, 2014. The overall incidence of vitreous loss in our study was found to be 2.03% with consultants having a rate of 1.66%, short-term fellows at 5.19%, and long-term fellows at 2.02%. Two hundred eighty-eight patients of the 374 cases followed up for 3 months at the hospital and 75.69% of these patients had a final visual acuity of ≥6/18. Conclusion: In an institute with a structured training program for residents/trainees, the vitreous loss rate is low during cataract surgery. Early intervention and proper management with the standard microsurgical technique by experienced hands can improve the final visual outcome in eyes with vitreous loss. Cystoid macular edema and corneal edema were the most common causes of poor postoperative vision.

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Management of Posterior Capsule Tears

Vajpayee

Sharma

Dada

et al. 2001

Survey of Ophthalmology

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Prevention and Management of Posterior Capsule Rupture

Abstract: The combination of a triplanar watertight small scleral incision. A relatively large continuous curvilinear capsulorhexis, an anterior chamber maintainer and residual cortex aspiration through the 10 o'clock side-port corneal incision greatly reduced the posterior capsule rupture rate.

Cited by 4 publications

References 4 publications

Subjective difficulty of each stage of phacoemulsification cataract surgery performed by basic surgical trainees

Subjective difficulty of each stage of phacoemulsification cataract surgery performed by basic surgical trainees

Incidence of vitreous loss and visual outcome following cataract surgery by surgeons with various levels of experience at a tertiary eye care center in North India

Management of Posterior Capsule Tears

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