Complicated posterior capsulorhexis: aetiology, management, and outcome
Department of Ophthalmology,
University of Liege, Belgium
Correspondence to: Françoise Van Cauwenberge, MD, Department of Ophthalmology, Centre Hospitalier Universitaire, 4000 Liege, Belgium.
Accepted for publication 4 November 1996
BACKGROUND
A 1 year retrospective analysis
of 650 patients, who underwent a posterior capsulorhexis on their
intact capsules, was performed to examine the incidence of
complications, their aetiologies, and the outcome.
METHODSData were analysed on 32 patients
with complicated capsulorhexis for type of surgery, preoperative and
postoperative factors, and relative risk factors for vitreous issue.
RESULTSThere were six patients with
vitreous loss. The posterior capsulorhexis was uncontrolled in 14 cases
and difficult to perform in 12 cases. Implantation into the capsular
bag was possible in all cases. Systemic vascular hazard and old age
(over 80 years) were found to be statistically significant risk factors
for vitreous loss (p=0.002 and p=0.03 respectively). The mean follow up
was 13.5 months (range 4-25 months). One patient developed a retinal detachment and two had a transient clinical cystoid macular oedema. Visual acuity of 
20/40 was obtained in 93% of the patients.
CONCLUSIONLoss of control of the
posterior capsulorhexis has a low incidence but can lead to serious
problems during surgery. A good knowledge of the technique is necessary
to complete the procedure with a posterior capsulorhexis of the optimum
size without vitreous loss.
© 1997 by British Journal of Ophthalmology
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
-
Stifter, E, Menapace, R, Luksch, A, Neumayer, T, Vock, L, Sacu, S
(2007). Objective assessment of intraocular flare after cataract surgery with combined primary posterior capsulorhexis and posterior optic buttonholing in adults. Br. J. Ophthalmol.
91: 1481-1484
[Abstract] [Full Text] -
Van Tenten, Y, De Groot, V, Wuyts, F L, Tassignon, M J
(2000). Quantitative measurement of the PCCC area in the postoperative period. Br. J. Ophthalmol.
84: 1117-1120
[Abstract] [Full Text]
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
