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Updated: May 21, 2026
04:59
Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
Published on: July 7, 2023
Visual outcome after cataract surgery complicated by posterior capsule rupture
Adisak Trinavarat1, Vichaiboon Neerucha
1Department of Ophthalmology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. siatr@mahidol.ac.th
Summary
Most patients achieve good vision after cataract surgery with posterior capsule rupture. Careful vitrectomy and intraocular lens (IOL) implantation improve visual outcomes and minimize complications.
Area of Science:
- Ophthalmology
- Surgical Complications
- Visual Outcomes
Background:
- Posterior capsule rupture is a frequent complication during cataract surgery.
- It can lead to sequelae impacting the patient's final visual acuity.
Purpose of the Study:
- To assess visual outcomes one year post-cataract surgery complicated by posterior capsule rupture.
- To identify factors associated with poor visual outcomes in these cases.
Main Methods:
- Retrospective chart review of 245 eyes from 242 patients undergoing cataract surgery with posterior capsule rupture (2006-2009).
- Data included demographics, pre-existing conditions, surgical details (vitrectomy, IOL type), and visual acuity.
- Analysis of factors linked to best-corrected visual acuity (BCVA) below 0.3 logMAR.
Main Results:
- Mean BCVA at 1 year was 0.43 logMAR; 64.5% achieved BCVA of 0.3 logMAR or better.
- Vitrectomy was performed in 75.5% of cases; primary IOL insertion in 87.4%.
- Complications occurred in 13.9%, including glaucoma, CME, and endophthalmitis. Pre-existing ocular disease, complex incision, posterior vitrectomy, and subsequent complications were linked to poorer outcomes.
Conclusions:
- Favorable visual outcomes are common following cataract surgery with posterior capsule rupture.
- Meticulous vitrectomy and foldable IOL insertion are recommended to minimize complications and optimize results.
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