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Surgical outcome following breach rhexis
1Department of Ophthalmology, Pilgrim Hospital, Sibsey Road, Boston, Lincolnshire, England. Akikio771@hotmail.com
European Journal of Ophthalmology
|August 3, 2007
Summary
Capsular breach during phacoemulsification cataract surgery is uncommon (0.56%) and often due to trainee inexperience. Proper management ensures good visual outcomes, with 85% achieving 6/12 vision or better.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Patient Outcomes
Background:
- Continuous curvilinear capsulorhexis is a critical step in phacoemulsification cataract surgery.
- Capsular tears are a known complication, particularly for trainees, necessitating careful management.
Purpose of the Study:
- To determine the incidence of capsular breach during phacoemulsification.
- To identify causes of capsular tears.
- To evaluate surgical outcomes and complications following capsular breach.
Main Methods:
- An interventional case series was conducted over a 13-month period.
- Data on 358 phacoemulsification procedures were collected using a predesigned ProForma.
- Information included instruments used, surgical modifications, and final outcomes.
Main Results:
- The incidence of capsular breach was 0.56% (20 cases).
- Inexperience or error in judgment caused 60% of breaches.
- 85% of patients achieved corrected visual acuity of 6/12 or better, with poorer vision linked to comorbidity.
Conclusions:
- Capsular breach during phacoemulsification is infrequent.
- Effective management, including surgical modification or experienced surgeon intervention, minimizes complications.
- Properly managed capsular breaches do not adversely affect final visual outcomes.