title: Primary posterior capsulotomy in adults with posterior capsule opacification.
abstract: To evaluate the efficacy and safety of primary posterior continuous curvilinear capsulorhexis (PCCC) in adult patients with cataract.
  
  
  
  Zagazig University Hospital, Ash-Sharkya, Egypt.
  
  
  
  Prospective nonrandomized case series.
  
  
  
  This study comprised patients with senile cataract who had phacoemulsification. All patients had a dense posterior capsule opacification (PCO) discovered intraoperatively. Primary PCCC was performed to remove the residual opacification after posterior capsule polishing. All patients were followed for 3 months postoperatively. The outcome measures were corrected distance visual acuity (CDVA), macular edema detected by optical coherence tomography, and the occurrence of intraoperative or postoperative complications.
  
  
  
  Twenty-five eyes of 25 cataract patients had phacoemulsification. The mean age was 61.9 years ± 7.5 (SD). The mean CDVA preoperatively was 0.14 ± 0.08 and postoperatively it was 0.86 ± 0.15 at 1 week, 0.93 ± 0.08 at 1 month, and 0.94 ± 0.08 at 3 months (P = .001). The mean central macular thickness was 313.16 ± 8.39 μm preoperatively and 315.04 ± 10.6 μm, 319.88 ± 26.06 μm, and 316.4 ± 13.7 μm at 1 week, 1 month, and 3 months postoperatively, respectively (P = .35). Posterior capsule opening contracture occurred in 1 eye (4%), although it did not affect the patient's vision. Intraoperative posterior capsule extension occurred in 1 eye (4%). No serious complications, such as retinal detachment or endophthalmitis, were detected in any patient.
  
  
  
  Cataract surgery with primary PCCC was a safe procedure to treat residual PCO in adults and had a low rate of complications.
  
  
  
  Neither author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: From the Ophthalmology Department, Zagazig Faculty of Medicine, Zagazig, Ash-Sharkya, Egypt. Electronic address: haithamnashar@hotmail.com.
authors.forename: Haitham Younis
authors.initials: HY
authors.lastname: Al-Nashar
authors.affiliation: From the Ophthalmology Department, Zagazig Faculty of Medicine, Zagazig, Ash-Sharkya, Egypt.
authors.forename: Ahmad Saeed
authors.initials: AS
authors.lastname: Khalil
mesh_terms: D000368:Aged; D058442:Capsule Opacification / Q000601:surgery*; D002386:Cataract; D006801:Humans; D019654:Lens Implantation, Intraocular; D008875:Middle Aged; D018918:Phacoemulsification; D064727:Posterior Capsulotomy; D011183:Postoperative Complications; D011446:Prospective Studies