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Intraoperative management of posterior capsular rupture

Hong, Augustine R.; Sheybani, Arsham; Huang, Andrew J.W.

Current Opinion in Ophthalmology: January 2015 - Volume 26 - Issue 1 - p 16–21
doi: 10.1097/ICU.0000000000000113

Purpose of review Posterior capsular rupture (PCR) and vitreous loss are inevitable complications encountered in cataract surgery across all levels of surgical experience and in spite of technological advances to improve safety. Thus, cataract surgeons must always be prepared to practice safe and effective intraoperative management strategies for capsular rupture.

Recent findings Novel approaches for lens fragment removal, vitrectomy, and lens implantation have expanded the available options for cataract surgery in the setting of an open posterior capsule. Intraoperative PCR management strategies should prioritize safety and strive to minimize vitreous traction, stabilize anterior chamber volume, maintain capsular and zonular integrity, and protect the corneal endothelium and other anterior segment structures.

Summary With appropriate management of PCR and vitreous, surgeons may still deliver safe and satisfactory visual outcomes for modern cataract surgery.

Washington University School of Medicine, St. Louis, Missouri, USA

Correspondence to Andrew J.W. Huang, 660 S Euclid Ave, Box 8096, St Louis, MO 63110, USA. Tel: +1 314 362 0403; fax: +1 314 362 0627; e-mail:

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