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Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
Published on: July 7, 2023
Surgical and visual outcomes for posterior polar cataract
S Das1, R Khanna, S M Mohiuddin
1L V Prasad Eye Institute, Hyderabad, Andhra Pradesh, India. sujata_das@yahoo.com
Aims:
The aims of this study were to report the surgical and visual outcomes of posterior polar cataract and to assess the risk factors for posterior capsule rupture.
Method:
Medical records of 81 eyes of 59 patients were reviewed. The surgical procedure used, intraoperative complications and postoperative visual outcome were recorded.
Results:
Of the 81 eyes, 61 eyes (75%) underwent phacoemulsification. Seventeen eyes had extra-capsular cataract extraction, and manual small incision cataract surgery was performed on three eyes. Posterior capsule rupture occurred in 25 (31%) eyes: it was more common in young patients (<40 years) and in the extra-capsular cataract extraction group. Two eyes had nucleus drop during phacoemulsification. The postoperative visual acuity was >or=20/30 in 76 eyes.
Conclusion:
Posterior capsule rupture occurred more frequently in extra-capsular cataract extraction compared with phacoemulsification and in patients below 40 years of age. Phacoemulsification, done carefully, leads to good visual outcome.