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Updated: Jun 22, 2026
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Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
Published on: July 7, 2023
Incidence and functional outcome of phacoemulsification complicated by posterior capsular rupture
Michał Wilczyński1, Olena Wilczyńska, Aleksandra Synder
11st Chair and Department of Ophthalmology, Medical University of Lodz. michalwilczynski@wp.pl
Klinika Oczna
|June 13, 2009
Summary
Phacoemulsification with posterior capsular rupture (PCR) can lead to reduced visual acuity, but good outcomes are achievable. Careful management is key for successful intraocular lens implantation despite PCR.
Area of Science:
- Ophthalmology
- Surgical Outcomes
- Cataract Surgery
Background:
- Phacoemulsification is a common cataract surgery technique.
- Posterior capsular rupture (PCR) is a known complication during phacoemulsification.
- Managing PCR impacts visual outcomes and complication rates.
Purpose of the Study:
- To evaluate the anatomic and functional results of phacoemulsification with intraocular lens implantation when complicated by intraoperative posterior capsular rupture (PCR).
- To compare outcomes between eyes with and without PCR during cataract surgery.
Main Methods:
- Retrospective analysis of medical records from 930 patients undergoing phacoemulsification.
- Comparison of 52 eyes with intraoperative PCR (case group) against 427 eyes without PCR (control group).
- Evaluation of best corrected visual acuity (BCVA), intraocular pressure, anterior/posterior segment status, and complications.
Main Results:
- Eyes with PCR had significantly lower postoperative BCVA (0.63) compared to controls (0.78).
- PCR eyes were 2.6 times more likely to experience other intraoperative/postoperative complications.
- PCR eyes were 5 times more likely to have a final BCVA worse than 0.5.
Conclusions:
- Intraoperative PCR during phacoemulsification increases the risk of reduced BCVA.
- Good final visual acuity is achievable in most eyes with PCR.
- Appropriate management ensures successful outcomes and safe intraocular lens placement.
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