Posterior Capsular Rupture in Planned ECCE for Posterior Chamber Intraocular Lens Implantation.
- Author:
Kyung Ho SON
1
;
Ji Hong BAE
;
Ho Sung LEE
;
Joon Kyung SONG
Author Information
1. Department of Ophthalmology, Daegu Catholic Hospital, Daegu, Korea.
- Publication Type:Original Article
- MeSH:
Anterior Chamber;
Incidence;
Lens Implantation, Intraocular*;
Lenses, Intraocular*;
Rupture*;
Visual Acuity;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
1987;28(5):969-973
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The incidence of inadvertent posterior capsular rupture at each stage of planned ECCE and posterior chamber intraocular lens implantation was studied. From June 1985 to Dec. 1986, 133 cases of planned ECCE for posterior chamber intraocular lens implantation were performed. Posterior capsular rupture with or without vitreous loss was developed in 11 cases(8.2%) out of 133. The rupture occurred during nuclear expression in 2 cases(1.5%), during cortical clean-up in 6 cases(4.5%), during remval removal of anterior capsular flaps in 2 cases(1.5%), during posterior chamber intraocular lens implantation in 1 case(0.7%), but during posterior capsule polishing in nocase(0%). Vitreous loss was combined with posterior capsular rupture in 6 cases(4.5%), but the other 5 cases were not associated with vitreous loss(3.7%). After management of vitreous loss by automated anterior vitrectomy in 10 cases, anterior chamber intraocular lens was implanted. But in the other 1 cases with mid posterior capsular rupture without vitreous loss, anterior chamber intraocular lens was implanted without anterior vitrectomy. A final visual acuity of 0.5 or better by 2 months postoperatively was observed in 10 cases out of 11(91%).
