title: Posterior Capsule Rupture With/Without Vitreous Loss During Phacoemulsification in a Hospital in Malaysia.
abstract: OBJECTIVE
  This study was undertaken to determine the risk factors and the point at which posterior capsule rupture (PCR) with/without vitreous loss occurred after cataract surgery and the precautions to be taken to avoid it in the future.
  
  
  METHODS
  A retrospective study.
  
  
  METHODS
  Patients who underwent cataract surgery from January 2011 to December 2012 in a hospital in Malaysia were studied. The data were obtained from the National Eye Database of Malaysia.
  
  
  RESULTS
  Of 80.4% eyes (2519) that had undergone phacoemulsification, it was found that 3.06% (77) of the cases had PCR as one of the complications. The largest number of PCRs happened during cortical removal (35.2%), followed by segment removal (25.4%), cracking (8.5%), and aspiration of the oculoviscodevice (8.5%). It has been found that the rupture most often occurred during cortex removal by consultants, whereas most PCRs occurred during segment removal by specialists.
  
  
  CONCLUSIONS
  This study reveals that around 3% of patients had PCR during phacoemulsification. It is important to recognize PCR and presence of vitreous loss intraoperatively to prevent further complications of cystoid macular edema and endophthalmitis.
authors.affiliation: From the *Ophthalmology Department, Hospital Melaka; †Melaka Manipal Medical College; and ‡Clinical Research Centre Melaka, Hospital Melaka, Melaka, Malaysia.
authors.forename: Thevi
authors.initials: T
authors.lastname: Thanigasalam
authors.forename: Soumendra
authors.initials: S
authors.lastname: Sahoo
authors.forename: Mariana Mohamad
authors.initials: MM
authors.lastname: Ali
mesh_terms: D000368:Aged; D005260:Female; D006769:Hospitals, General; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D007903:Lens Capsule, Crystalline / Q000293:injuries*; D008296:Malaysia / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000009:adverse effects*; D012189:Retrospective Studies; D012421:Rupture; D014792:Visual Acuity; D014822:Vitreous Body