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Posterior Capsule Rupture With/Without Vitreous Loss During Phacoemulsification in a Hospital in Malaysia
Thevi Thanigasalam1, Soumendra Sahoo, Mariana Mohamad Ali
1From the *Ophthalmology Department, Hospital Melaka; †Melaka Manipal Medical College; and ‡Clinical Research Centre Melaka, Hospital Melaka, Melaka, Malaysia.
Purpose:
This study was undertaken to determine the risk factors and the point at which posterior capsule rupture (PCR) with/without vitreous loss occurred after cataract surgery and the precautions to be taken to avoid it in the future.
Design:
A retrospective study.
Methods:
Patients who underwent cataract surgery from January 2011 to December 2012 in a hospital in Malaysia were studied. The data were obtained from the National Eye Database of Malaysia.
Results:
Of 80.4% eyes (2519) that had undergone phacoemulsification, it was found that 3.06% (77) of the cases had PCR as one of the complications. The largest number of PCRs happened during cortical removal (35.2%), followed by segment removal (25.4%), cracking (8.5%), and aspiration of the oculoviscodevice (8.5%). It has been found that the rupture most often occurred during cortex removal by consultants, whereas most PCRs occurred during segment removal by specialists.
Conclusions:
This study reveals that around 3% of patients had PCR during phacoemulsification. It is important to recognize PCR and presence of vitreous loss intraoperatively to prevent further complications of cystoid macular edema and endophthalmitis.
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