Incidence of Posterior Capsule Rupture During Phacoemulsification Cataract Surgery Among Patients Treated With
Duaa T Daradkeh1, Fedaa A Smadi1, Hala K Haddad1
1Department of Ophthalmology, Royal Medical Services, Amman, JOR.
Cureus
|October 29, 2024
Summary
Diabetic patients receiving multiple intravitreal bevacizumab injections face a higher risk of posterior capsular rupture during cataract surgery. More than three injections significantly increase this risk, impacting surgical outcomes.
Area of Science:
- Ophthalmology
- Diabetic Retinopathy Management
- Cataract Surgery
Background:
- Diabetic retinopathy often necessitates intravitreal injections.
- Cataract surgery is common in diabetic patients.
- Intravitreal bevacizumab is used for diabetic retinopathy.
Purpose of the Study:
- To evaluate the association between intravitreal bevacizumab injections and posterior capsular rupture (PCR) during phacoemulsification in diabetic patients.
- To identify if the number of bevacizumab injections correlates with increased PCR risk.
Main Methods:
- Retrospective study of diabetic patients undergoing phacoemulsification cataract surgery.
- Patients categorized by the number of intravitreal bevacizumab injections received (0, 1, 2, 3+).
- Comparison of PCR incidence against a control group of non-diabetic patients without prior injections.
Main Results:
- Posterior capsular rupture (PCR) incidence was 5.2% in patients receiving 3+ bevacizumab injections.
- PCR rates were 1.6% (1 injection), 2% (2 injections), and 2.3% (3 injections).
- Control group (no diabetes, no injections) had a PCR rate of 1.4%.
Conclusions:
- Multiple intravitreal bevacizumab injections (3+) are a risk factor for posterior capsular rupture in diabetic patients undergoing cataract surgery.
- The number of bevacizumab injections is associated with increased PCR risk in this population.
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