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Related Experiment Video

Updated: Jun 18, 2026

Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
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Incidence of Posterior Capsular Rupture in Routine and Complex Cataract Surgeries at a Major Training Institution.

Sebastian T Lee1, Tyler Whitaker1, Stephen Christensen1

  • 1John A. Moran Eye Center, Department of Ophthalmology & Visual Sciences, University of Utah Health.

Journal of Cataract and Refractive Surgery
|June 16, 2026
PubMed
Summary

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Posterior capsular rupture (PCR) occurred in 0.67% of cataract surgeries. Trainee presence and responsibility, along with complex cases, significantly increased PCR risk.

Area of Science:

  • Ophthalmology
  • Surgical Outcomes

Background:

  • Limited recent data exists on posterior capsular rupture (PCR) incidence in the US.
  • The specific impact of trainee involvement on PCR rates remains unclear.

Purpose of the Study:

  • To determine the current incidence of PCR in cataract surgery.
  • To analyze the influence of case complexity and trainee involvement on PCR rates.

Main Methods:

  • Retrospective analysis of cataract surgery complication database from 2022-2024.
  • Stratification of PCR rates by case complexity and trainee presence/responsibility.
  • Inclusion of 14,240 cataract surgeries.

Main Results:

  • Overall PCR rate was 0.67%, with higher rates in complex cases (1.4%) vs. routine cases (0.5%).

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Last Updated: Jun 18, 2026

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  • PCR incidence was elevated when trainees were present (0.94%) compared to when they were absent (0.23%).
  • Residents caused PCR twice as often as attending physicians when assisting (0.80% vs. 0.40%).

    • Conclusions:

    • Provides up-to-date PCR incidence data from a major academic center.
    • Case complexity and trainee presence/responsibility are significant risk factors for PCR.