Intraoperative management of posterior capsular rupture.
OBJECTIVE
Posterior capsular rupture (PCR) and vitreous loss are inevitable complications encountered in cataract surgery across all levels of surgical experience and in spite of technological advances to improve safety. Thus, cataract surgeons must always be prepared to practice safe and effective intraoperative management strategies for capsular rupture.


RESULTS
Novel approaches for lens fragment removal, vitrectomy, and lens implantation have expanded the available options for cataract surgery in the setting of an open posterior capsule. Intraoperative PCR management strategies should prioritize safety and strive to minimize vitreous traction, stabilize anterior chamber volume, maintain capsular and zonular integrity, and protect the corneal endothelium and other anterior segment structures.


CONCLUSIONS
With appropriate management of PCR and vitreous, surgeons may still deliver safe and satisfactory visual outcomes for modern cataract surgery.
Washington University School of Medicine, St. Louis, Missouri, USA.
Augustine R
AR
Hong
Arsham
A
Sheybani
Andrew J W
AJ
Huang
D002387:Cataract Extraction; D005128:Eye Diseases / Q000517:prevention & control; D006801:Humans; D007431:Intraoperative Complications; D057851:Posterior Capsular Rupture, Ocular / Q000209:etiology / Q000517:prevention & control / Q000601:surgery*; D014821:Vitrectomy / Q000379:methods; D014822:Vitreous Body / Q000473:pathology