ArticleIndian journal of ophthalmology2023
Risk factors for posterior capsule rupture in mature cataract surgery: A study of 1302 cases.
Article in Indian journal of ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 6 citations in OpenAlex.
- Video-based evaluation of cataract surgery and intraoperative complications: a single surgeon's 12-year experience.International ophthalmology · 2026Article
- Optimizing Cataract Surgery Workflows Across a Multi-Satellite Tertiary Care Center.Clinical ophthalmology (Auckland, N.Z.) · 2026Review
- Article
- Advanced Age Does Not Predispose to Intraoperative Complications Among High-Risk Cataract Surgeries.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Comparison of Postocclusion Pressure Surge Between Pressure Sensing and Traditional Phacoemulsification Handpieces.Journal of ophthalmology · 2025Article
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: To identify the risk factors predisposing posterior capsule rupture (PCR) during mature cataract surgery. Methods: A total of 1302 consecutive mature cataract cases were included in this retrospective study. A detailed examination was performed for each patient and risk factors including age, gender, systemic diseases, ocular comorbidities, surgeon, and surgery method were recorded. Cases with PCR during surgery were classified as complicated. Multivariate logistic regression analysis with a generalized estimating equations method was applied for statistical analysis. Results: The overall rate of PCR was 7.30% (n=95 eyes). After adjusting for confounders, factors that remained significant on multivariate analysis were strabismus (odds ratio [OR]: 5.70, 95% confidence interval [CI]: 2.17-14.97; P < 0.001), phacodonesis (OR: 4.62, 95% CI: 2.59-8.22; P < 0.001), history of trauma (OR: 4.46, 95% CI: 1.64-12.12; P = 0.003), surgery method (extracapsular cataract extraction/phacoemulsification) (OR: 2.61, 95% CI: 1.60-4.26; P < 0.001), and pseudoexfoliation (OR: 1.94, 95% CI: 1.20-3.16; P = 0. 007). Conclusion: Strabismus, phacodonesis, history of trauma, extracapsular cataract extraction method, and pseudoexfoliation were found to be important risk factors for developing PCR. Appropriate preoperative and perioperative precautions for these higher-risk cases can reduce complications.
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