Posterior Capsular Rupture in Planned ECCE for Posterior Chamber Intraocular Lens Implantation. |
Kyung Ho Son, Ji Hong Bae, Ho Sung Lee, Joon Kyung Song |
1Department of Ophthalmology, Daegu Catholic Hospital, Daegu, Korea. 2Department of Ophthalmology, Kyung Sang National University, Chinju, Korea. |
계획적 낭외적출시의 후낭파열 |
손경호(Kyung Ho Son),배지홍(Ji Hong Bae),이호성(Ho Sung Lee),송준경(Joon Kyung Song) |
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Abstract |
The incidence of inadvertent posterior capsular rupture at each stage of planned ECCE and posterior chamber intraocular lens implantation was studied. From June 1985 to Dec. 1986, 133 cases of planned ECCE for posterior chamber intraocular lens implantation were performed. Posterior capsular rupture with or without vitreous loss was developed in 11 cases(8.2%) out of 133. The rupture occurred during nuclear expression in 2 cases(1.5%), during cortical clean-up in 6 cases(4.5%), during remval removal of anterior capsular flaps in 2 cases(1.5%), during posterior chamber intraocular lens implantation in 1 case(0.7%), but during posterior capsule polishing in nocase(0%). Vitreous loss was combined with posterior capsular rupture in 6 cases(4.5%), but the other 5 cases were not associated with vitreous loss(3.7%). After management of vitreous loss by automated anterior vitrectomy in 10 cases, anterior chamber intraocular lens was implanted. But in the other 1 cases with mid posterior capsular rupture without vitreous loss, anterior chamber intraocular lens was implanted without anterior vitrectomy. A final visual acuity of 0.5 or better by 2 months postoperatively was observed in 10 cases out of 11(91%). |
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