Intraoperative and early postoperative results of suction posterior capsulorhexis.
OBJECTIVE
To report the intraoperative complications and early postoperative visual results of suction posterior capsulorhexis (SPC).


METHODS
Ophthalmology department of a district general hospital, Kent, United Kingdom.


METHODS
This prospective observational study included all patients having phacoemulsification who required SPC as a planned procedure or because of posterior capsule tears (128 eyes of 122 patients). All patients were under the care of a single consultant. Intraoperative complications related to the SPC as well as postoperative complications and best corrected visual acuity (BCVA) in all cases and with best-case analysis (patients with preexisting ocular comorbidity excluded) were noted.


RESULTS
Seven cases (5.5%) of vitreous prolapse occurred; none was specifically related to the SPC. A BCVA of 0.67 (6/9) or better was achieved in 94% of cases (100% of best cases). One retinal detachment (0.8%) occurred 8 months postoperatively that was successfully treated with no loss of BCVA.


CONCLUSIONS
Suction posterior capsulorhexis had a low rate of intraoperative complications and did not adversely affect the early visual outcome.
Hugkulstone
Charles E
CE
Department of Ophthalmology, Queen Mary's Hospital, Sidcup, Kent DA14 6LT, United Kingdom.
D000368:Aged; D019923:Capsulorhexis / Q000379:methods*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular; D008297:Male; D018918:Phacoemulsification / Q000379:methods; D011183:Postoperative Complications; D011446:Prospective Studies; D013396:Suction / Q000379:methods; D016896:Treatment Outcome; D014792:Visual Acuity