Anterior segment optical coherence tomography for demonstrating posterior capsular rent in posterior polar cataract.
OBJECTIVE
To report the preoperative use of anterior segment optical coherence tomography (AS-OCT) for the determination of pre-existing posterior capsule defect in patients with posterior polar cataract.


METHODS
Three patients presented with posterior polar cataract and were evaluated preoperatively using AS-OCT, revealing in one patient intact posterior capsule and in the other two a pre-existing posterior capsule defect not detectable by slit-lamp evaluation. All patients underwent phacoemulsification and intraocular lens implantation.


RESULTS
Intraoperatively, AS-OCT findings were confirmed after cataract surgery in all patients. No intra- or late postoperative complications were noted.


CONCLUSIONS
AS-OCT could be an additional useful imaging modality in these patients, essential for surgical planning and patient consultation.
Institute of Vision and Optics, Department of Medicine, University of Crete, Heraklion, Crete, Greece ; Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, Florida, USA.
George D
GD
Kymionis
Institute of Vision and Optics, Department of Medicine, University of Crete, Heraklion, Crete, Greece.
Vasilios F
VF
Diakonis
Institute of Vision and Optics, Department of Medicine, University of Crete, Heraklion, Crete, Greece.
Dimitrios A
DA
Liakopoulos
Institute of Vision and Optics, Department of Medicine, University of Crete, Heraklion, Crete, Greece.
Konstantinos I
KI
Tsoulnaras
Institute of Vision and Optics, Department of Medicine, University of Crete, Heraklion, Crete, Greece.
Nektarios E
NE
Klados
Institute of Vision and Optics, Department of Medicine, University of Crete, Heraklion, Crete, Greece.
Ioannis G
IG
Pallikaris
anterior segment optical coherence tomography; cataract complications; phacoemulsification; posterior capsular cataract; posterior capsular rupture