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Posterior capsule rupture
Cataract & Refractive Surgery
Key Points
- •PCR incidence is 1.5–4.4% of phacoemulsification cases; pseudoexfoliation is the single strongest patient risk factor (2–5× risk).
- •The I/A stage is the most common timing of PCR in modern phacoemulsification - sub-incisional cortex removal is highest risk.
- •The first step when PCR occurs: STOP and inject dispersive OVD (Viscoat) immediately to tamponade vitreous and maintain the anterior chamber.
- •Never place a single-piece acrylic IOL in the sulcus - use a 3-piece IOL and reduce power by 0.5–1.0 D for sulcus placement.
- •Never chase a sinking nucleus through the capsular defect - inject OVD to float it anteriorly or convert to ECCE; refer for PPV if dropped.
- •Intracameral triamcinolone is indispensable for staining vitreous - without it, residual vitreous strands are nearly invisible.
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Keep reading Posterior capsule rupture
17 more sections are included with the Clinical plan.
- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations