Capsule complication during cataract surgery: Long-term outcomes: Swedish Capsule Rupture Study Group report 3.
OBJECTIVE
To describe the long-term outcomes after cataract extractions with a capsule rupture included in the Swedish Capsule Rupture Study.


METHODS
Ten ophthalmic surgery departments in Sweden.


METHODS
From the cohort of patients originally selected for inclusion in the Swedish Capsule Rupture Study, cases with a capsule complication (study group) and cases without a complication (control group) were examined approximately 3.5 years postoperatively. Visual acuity and objective and subjective parameters were registered.


RESULTS
The study group comprised 171 patients and the control group, 198 patients. Patients with a capsule complication had a significantly worse visual outcome and a doubled risk for no improvement in preoperative visual acuity. Pupil distortion, iris damage, synechias, and subjective complaints related to the eye were significantly more common in patients with a capsule complication.


CONCLUSIONS
Capsule complications decreased the probability of good postoperative visual acuity and in general yielded a worse long-term outcome after phacoemulsification surgery.
Department of Ophthalmology, Linköping University Hospital.
Björn
B
Johansson
Mats
M
Lundström
Per
P
Montan
Ulf
U
Stenevi
Anders
A
Behndig
D000368:Aged; D016022:Case-Control Studies; D002386:Cataract / Q000150:complications; D005128:Eye Diseases / Q000209:etiology; D005131:Eye Injuries / Q000191:economics / Q000209:etiology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications; D007903:Lens Capsule, Crystalline / Q000293:injuries*; D007905:Lens Diseases / Q000191:economics / Q000209:etiology* / Q000601:surgery; D019654:Lens Implantation, Intraocular; D008297:Male; D018918:Phacoemulsification / Q000009:adverse effects* / Q000706:statistics & numerical data; D011182:Postoperative Care; D012307:Risk Factors; D013548:Sweden; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D014822:Vitreous Body / Q000473:pathology