J Korean Ophthalmol Soc.  1998 Nov;39(11):2647-2652.

Clinical Results of The Eyes with Posterior Capsule Rupture During Cataract Operation

• Kim KB
• Jeun EJ
• Kim JC

Abstract

To evaluate the character, management and clinical results of the posterior capsular rupture during cataract surgery, we retrospectively studied the cataract surgeries that were performed between May 1989 and April 1998. We discovered 194 eyes in which the posterior capsule was torn. The overall incidence of this complication was 3.15%. Our chart review of these surgical procedure revealed that the tear occurred most frequently during the nucleus removal(63.9%), occurred more frequently at the periphery than the center and the extent was mostly below one-third of the whole posterior capsular surface(75.8%). We performed vitrectomy(58.8%) and peripheral iridectomy(8.8%). Posterior capsular lenses were implanted in 183 cases. The predicted power of lens calculated with SRK-II formula and manufacturer`s A-constant was approximately 0.46 diopter less than actual postoperative refraction. Final visual acuity of 20/40 or better was achieved in 76.8% of the 194 cases. Our results revealed that when properly managed, a torn posterior capsule is compatible with an excellent visual outcome.

Keyword

Posterior capsular rupture; Cataract surgery

MeSH Terms

Cataract*
Incidence
Retrospective Studies
Rupture*
Visual Acuity