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Related Experiment Video

Updated: Mar 16, 2026

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Posterior polar cataract: Minimizing risks.

Gaurav Kapoor1, Sankalp Seth2, T S Ahluwalia3

  • 1Senior Adviser (Ophthalmology), Base Hospital, Delhi Cantt 110010, India.

Medical Journal, Armed Forces India
|August 23, 2016
PubMed
Summary

Surgical outcomes for posterior polar cataracts, a challenging congenital condition, show good visual acuity (89.13% achieving 6/12 or better) with controlled phacoemulsification and PCIOL implantation, despite a 13.04% posterior capsular rupture rate.

Keywords:
CongenitalPosterior capsular rentPosterior polar

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Area of Science:

  • Ophthalmology
  • Surgical Outcomes
  • Congenital Cataracts

Background:

  • Posterior polar cataract is a challenging congenital condition.
  • It is associated with poor surgical outcomes.
  • Management requires careful consideration.

Purpose of the Study:

  • To compare surgical outcomes of posterior polar cataract management.
  • To evaluate phacoemulsification and PCIOL implantation for this condition.

Main Methods:

  • A prospective analytical study was conducted.
  • 46 eyes of 38 patients with posterior polar cataract underwent surgery.
  • Phacoemulsification and posterior chamber intraocular lens (PCIOL) implantation were performed.

Main Results:

  • The incidence of posterior polar cataract was 1.23 per 1000.
  • Posterior capsular rupture (PCR) occurred in 13.04% of cases, higher than in normal cataracts.
  • Visual acuity of 6/12 or better was achieved in 89.13% of eyes.
  • Visual acuity of 6/9 or better was achieved in 84.78% of eyes.
  • Amblyopia affected 8.6% and macular edema 4.34% of patients.
  • No cases of nucleus drop or retinal detachment were reported.

Conclusions:

  • Posterior polar cataracts present significant surgical challenges.
  • Controlled surgery with well-defined techniques can lead to good outcomes.
  • Reduced incidence of posterior capsular rupture is achievable.