Observational studyEye (London, England)2025
Timing of posterior capsular rupture during cataract surgery.
Observational study in Eye (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Construct validity of five phacoemulsification modules on the EyeSi surgical simulator: a cross-sectional study across three levels of surgical expertise.International ophthalmology · 2026Article
- Comment on: 'Timing of posterior capsular rupture'.Eye (London, England) · 2026Article
- Effect of 25-Gauge Needle-Assisted Phacoemulsification of Dislocated Intravitreal Lens Nucleus.Journal of ophthalmology · 2026Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectivesThe main aim of this study was to describe the stage at which posterior capsular rupture (PCR) occurred during cataract surgery and the association with anterior capsular (AC) tears. SUBJECTS/
methodsThis was a retrospective, observational cross-sectional study of all cataract surgeries conducted in Moorfields Eye Hospital complicated by PCR, between January 2014 and December 2018. The primary outcome measure was the stage of cataract surgery in which PCR occurred. The secondary outcome measures were the incidence of AC tears, intraoperative complications and location of intraocular lens (IOL) implantation.
results1042 eyes were included in the study and PCR occurred at the following stages: hydrodissection in 40 (3%) eyes, phacoemsulsification in 621 (60%) eyes, irrigation-aspiration (IA) in 248 (24%) eyes, lens implantation in 87(8%) eyes, viscoelastic removal in 44(4%) eyes and wound hydration in 2 (1%) eyes. 624/1042(60%) patients had a sulcus lens, 117/1042(11%) lens in the bag, 190/1042(19%) sulcus optic capture, 24/1042(2%) AC lens and 87/1042(8%) aphakic. 15% of PCR cases were associated with an AC tear. There was a significant difference in the timing of PCR and location of IOL implantation between the eyes with an intact anterior capsulorhexis and those with an AC tear (p < 0.01).
conclusionPCR is most likely to occur during the phacoemulsification stage of cataract surgery. However, surgeons should be aware that the presence of AC tears may alter this and possibly influence the location of IOL implantation.
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