Short-term outcomes in eyes with posterior capsule rupture during cataract surgery

Abstract

Most eyes with PCR achieved a good BCVA in the early postoperative period.

Visual outcome in cataract surgery complicated by vitreous loss in a district general hospital

“…Ionides et al [2] showed that in the event of capsule rupture, 80% of patients achieved a final visual acuity of 20/40 or better. In terms of patients achieving a BCVA of 6/12 or better at final follow-up, Tan et al [4] reported a figure of 86%, Chan et al [5] reported 87% and, more recently, Ang and Whyte [3] reported a figure of 84.4%. This compares well with our results of 87% of patients reaching this level of acuity at final follow-up.…”

“…Several studies have looked at visual outcome following complicated cataract extraction with vitreous loss, which is the most frequent and significant complication [1][2][3][4][5][6]. Based on their series of complicated extracapsular cataract extractions published in 1988, Balent et al [6] gave a figure of 77.3% of patients achieving 6/12 or better .…”

“…Based on their series of complicated extracapsular cataract extractions published in 1988, Balent et al [6] gave a figure of 77.3% of patients achieving 6/12 or better . With the advent of phacoemulsification and improved microsurgical techniques, the percentage of patients achieving 6/12 or better has risen by almost 10%, with recently published reports of 84.4 [3], 86 [4] and 87% [5] of patients achieving this level of vision.…”

Chromovitrectomy in Vitreous Loss During Cataract Surgery

“…For example, vitreous loss (vitreous breaching the posterior capsule) associated with capsular rupture is a complication that significantly affects postoperative visual acuity. Direct and immediate effects of vitreous loss involve deviation of the pupil (corectopia), inflammation of the anterior chamber, corneal damage, and intraocular pressure elevation; indirect and late effects are cystoid macular edema, vitreous inflammation, and retinal detachment [1][2][3][4][5][6]. Various factors have been reported to associated with this complication [1].…”

Vitreous loss during cataract surgery: prevention and optimal management

“…2,3 Vitreous loss is associated with an increased risk of sight threatening complications, including cystoid macular oedema, retinal detachment, and endophthalmitis. [4][5][6][7] Posterior capsule disruption may be followed by dislocation of lens fragments into the posterior segment and those eyes have an even worse prognosis. 8,9 Prevention The minutiae of safe cataract surgery are outside the scope of this article and are dealt with in recent texts.…”