Managing the broken capsule
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Updated: Jul 9, 2026

Implantation Protocol of the Foldable Capsular Vitreous Body for Complex Vitreoretinal Surgery
Published on: April 14, 2026
1Department of Ophthalmology, University of Washington School of Medicine, Seattle, Washington 98195-6485, USA. michawu@u.washington.edu
Purpose Of Review:
Posterior capsular rupture is a common complication of cataract extraction surgery. Prompt management of anterior and posterior capsular tears may prevent associated complications or need for subsequent procedural intervention.
Recent Findings:
When tears develop in the anterior capsule, novel techniques allow predictable rescue of a capsulorhexis, preventing radial extension to the posterior capsule. Several case series now describe techniques and outcomes of posterior assisted levitation techniques for a dislocated nucleus. Triamcinolone staining of the vitreous improves visualization and removal of vitreous in the anterior segment following capsular rupture. Recently published studies further describe the increased risks of endophthalmitis and retinal detachment following capsular tears.
Summary:
Several techniques may prove beneficial in the intraoperative management of an anterior capsular tear, a dislocated nucleus, or vitreous loss.
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Assessment:
Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

