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Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries

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Completing phaco following anterior capsular tear.

¹Moorfields Eye Hospital NHS Foundation Trust, 162 City Road, London EC1V 2PD, UK.

Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society

|August 21, 2013

Summary

Anterior capsule tears during phacoemulsification are rare but serious complications. Surgeons can manage these challenging situations by understanding tear dynamics and employing specific techniques.

Keywords:

Anterior capsule tear Phacoemulsification

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Area of Science:

Ophthalmology
Surgical Complications

Background:

Anterior capsule tears during phacoemulsification occur in less than 1% of cases.
This complication presents a significant surgical challenge, risking posterior capsule extension.

Purpose of the Study:

To outline principles and techniques for managing anterior capsule tears during phacoemulsification.
To provide guidance for surgeons facing this uncommon but hazardous event.

Main Methods:

Review of principles for managing anterior capsule tears.
Discussion of surgical techniques to control forces and manipulate the capsular bag safely.

Main Results:

Development of techniques to safely remove the nucleus despite an anterior capsule tear.
Emphasis on surgeon self-assessment and understanding of tear mechanics.

Conclusions:

Successful management of anterior capsule tears is achievable through specific principles and techniques.
The paramount principle is to cease the procedure if in doubt.