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Posterior capsule tears during extracapsular cataract surgery in India
G Natchiar1, A L Robin, A R Nalgirkar
1Aravind Eye Hospital, Madurai, India.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|May 1, 1993
Summary
Posterior capsule rupture incidence during extracapsular cataract surgery was 1.7% in India. This complication did not limit the utility of this procedure in developing nations with skilled surgeons.
Area of Science:
- Ophthalmology
- Surgical Outcomes
- Global Health
Background:
- Cataract surgery is crucial in developing nations.
- Posterior capsule rupture is a known complication.
- The utility of extracapsular cataract surgery (ECCE) with posterior chamber intraocular lens (PC-IOL) insertion in developing nations needs evaluation.
Purpose of the Study:
- To determine the incidence of posterior capsule rupture during ECCE with PC-IOL insertion.
- To assess if this complication impacts the widespread use of ECCE in developing nations.
Main Methods:
- Retrospective chart review of 898 patients undergoing ECCE with PC-IOL insertion.
- Study conducted over 6 months at Aravind Eye Hospital, Madurai, India.
- Exclusion of patients with pre-existing ocular conditions affecting capsule integrity.
Main Results:
- 1.7% (15/898) of eyes experienced posterior capsule rupture.
- Vitreous in the anterior chamber occurred in 7 of the 15 cases.
- Ruptures were more common in eyes with traumatic or hypermature cataracts (9/15).
Conclusions:
- Extracapsular cataract surgery with PC-IOL insertion is technically feasible in developing nations.
- Skilled and experienced surgeons are essential for successful outcomes.
- The procedure remains a viable option despite challenges posed by mature cataracts.