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Updated: Jul 16, 2026
Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
Published on: July 7, 2023
Posterior polar cataract surgery - a posterior segment approach
1Department of Vitreo-retinal Surgery, Birmingham and Midland Eye Centre, City Hospital NHS Trust, Birmingham, UK. yajati_ghosh@hotmail.com
Purpose:
To suggest a surgical approach that would pre-empt uncontrolled posterior capsular rupture and consequent posterior segment complications associated with posterior polar cataract surgery.
Design:
An interventional case series.
Methods:
This was a prospective, interventional study undertaken at a tertiary referral ophthalmic unit. Eleven eyes of eight patients underwent planned pars plana vitrectomy, lensectomy and posterior chamber sulcus fixated intra-ocular lens implantation. Demography, presenting features, pre- and post-operative visual acuities, complications and length of follow-up were recorded. A single surgical technique was performed in all the cases.
Results:
Five male and three female patients with a mean age of 49.7 years, underwent this procedure. The median-corrected pre-operative visual acuity was 6/12 and the same post-operatively was 6/6. The only major per-operative complication was one case of accidental iridectomy. Post-operatively there were transient choroidal folds in one case, mild posterior segment haemorrhage in another and retinal detachment in one patient. The mean follow-up period was 13 months.
Conclusions:
This surgical technique offers a relatively controlled and predictable approach to posterior polar cataract surgery compared to others described in the literature. Although this technique is not without complications, the visual outcome is usually good.
