Short-term outcomes in eyes with posterior capsule rupture during cataract surgery.
OBJECTIVE
To determine the short-term outcomes in eyes with posterior capsule rupture (PCR) during cataract surgery.


METHODS
The Eye Institute, National Healthcare Group, Tan Tock Seng Hospital, Singapore, Singapore.


METHODS
All intraoperative complications during cataract surgery were reported prospectively as part of a clinical audit program. The clinical charts of all patients who had PCR during cataract surgery from July 1995 to December 1998 were retrospectively reviewed.


RESULTS
Posterior capsule rupture occurred in 155 (1.9%) of 8230 consecutive eyes that had extracapsular cataract extraction (ECCE) or phacoemulsification. Thirteen cases were excluded from analysis for missing data or insufficient follow-up. Of the remaining 142 eyes, 100 (70.4%) achieved a best corrected visual acuity (BCVA) of 6/12 or better between 6 weeks and 3 months postoperatively. Excluding 27 eyes with preexisting ocular pathology contributing to impaired vision, 87.0% achieved a BCVA of 6/12 or better. Fifteen eyes (13.0%) failed to achieve that acuity because of cystoid macular edema (CME) (2 eyes), posterior capsule opacification (2 eyes), endophthalmitis (1 eye), glaucoma (1 eye), retinal detachment (1 eye), CME, central retinal artery occlusion, and vitreous hemorrhage (1 eye) or unknown reasons (7 eyes). Risk factors for a poor visual outcome included older age, presence of coexisting ocular pathology, ECCE, implantation of an anterior chamber intraocular lens, and vitreous loss requiring anterior vitrectomy.


CONCLUSIONS
Most eyes with PCR achieved a good BCVA in the early postoperative period.
Chan
Fiona M
FM
Eye Institute, National Healthcare Group, Singapore, Singapore.
Mathur
Ranjana
R
Ku
Jack J K
JJ
Chen
Ching
C
Chan
Siew-Pang
SP
Yong
Victor S H
VS
Au Eong
Kah-Guan
KG
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction / Q000009:adverse effects; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D007903:Lens Capsule, Crystalline / Q000293:injuries*; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000009:adverse effects*; D011446:Prospective Studies; D012307:Risk Factors; D012421:Rupture; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology*