Visual outcome following posterior capsule rupture during phacoemulsification in a tertiary care hospital in Malaysia
- Author:
Thanigasalam Thevi, MS
;
Soumendra Sahoo, MS
- Publication Type:Journal Article
- Keywords:
Phacoemulsification;
posterior capsule rupture;
cataract' visual outcome
- MeSH:
Phacoemulsification
- From:
The Medical Journal of Malaysia
2016;71(2):45-46
- CountryMalaysia
- Language:English
-
Abstract:
Purpose: To analyse the visual outcomes of cases with
posterior capsule rupture (PCR) compared to those without
PCR following phacoemulsification. The occurrence of
posterior capsule rupture during phacoemulsification
surgery for cataract can have serious implications in the
visual recovery. However, recognition of PCR and proper
management can yield a successful visual outcome. This
study analysed the visual outcomes of cases with PCR
compared to those without PCR.
Methods: This is a case-control study. All patients who
underwent cataract surgery from 2011 to 2012 in Hospital
Melaka were traced from the National Eye Database (NED) of
Malaysia. The visual outcomes were classified as good,
borderline and poor as per WHO guidelines. The data was
analysed with SPSS version 12 IBM.
Results: Out of 80.4% (2519) of eyes that had undergone
phacoemulsification (PHACO) type of surgery, 3.06% (77
cases) had posterior capsule rupture complication. There
was no significant difference in the visual outcome of
borderline between cases with PCR and cases without PCR
(Odds Ratio (OR) 0.989; 95% Confidence Interval (CI) 0.382-
2.560). However, cases with PCR were significantly less
likely to have good vision compared to those without PCR
(OR 0.335; 95% CI 0.157-0.714).
Conclusion: The study reveals that a significant number of
patients without PCR had good vision, whereas those with
PCR did not get good vision. We would like to suggest
meticulous care during phacoemulsification surgery to
avoid PCR in order to obtain good visual outcomes.
- Full text:P020160623475422825855.pdf
