title: 2013 update on the management of posterior capsular rupture during cataract surgery.
abstract: OBJECTIVE
  Posterior capsular rupture (PCR) is an infrequent complication of cataract surgery that can lead to significant ocular morbidity and permanent vision loss. In the setting of PCR, the primary objective is the safe and thorough evacuation of vitreous and lens fragments from the anterior segment. The secondary objective is the stable placement of an intraocular lens (IOL) selected for best refractive outcomes. Expedited referral to vitreoretinal specialists is recommended for management of posteriorly dislocated lens material and surveillance for retinal injury. It is the intention of this review to present current guidelines for the management of PCR.
  
  
  RESULTS
  There are new techniques available to anterior and posterior segment surgeons in the setting of PCR. Endoillumination may facilitate visualization during anterior vitrectomy and the IOL may be used as a pupillary barrier to prevent loss of lens fragments. When secondary procedures are needed, early return to the operating room and small-gauge pars plana techniques may reduce patient morbidity.
  
  
  CONCLUSIONS
  When approached carefully and systematically, patients may have good outcomes in the setting of PCR. Recent advancements in instrumentation and technique encourage further study and may lead to new standards of care.
authors: University of California San Francisco, Department of Ophthalmology, San Francisco, California, USA.
authors: Cynthia S
authors: CS
authors: Chiu
mesh_terms: D002387:Cataract Extraction / Q000009:adverse effects*; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular / Q000379:methods; D007906:Lens Subluxation / Q000209:etiology / Q000601:surgery; D057851:Posterior Capsular Rupture, Ocular / Q000209:etiology / Q000601:surgery*; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods