POSTERIOR CAPSULE TEARS (PCT)

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MOHAMMAD RABI H.; ENTEZARI S.M.; RAHMATI KAMEL M.

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Journal: BINA Year:2002 | Volume:7 | Issue:4 Page(s): 338-354

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Information Journal Paper

Title

POSTERIOR CAPSULE TEARS (PCT)

Author(s)

MOHAMMAD RABI H. | ENTEZARI S.M. | RAHMATI KAMEL M. | Issue Writer Certificate

Keywords

POSTERIOR CAPSULE TEARQ3

CATARACT SURGERYQ3

Abstract

Purpose: To determine and introduce the best ways of diagnosis, management and prevention of PCT.Methods: All existing relevant articles in medline from 1963 to 2001 were searched with the following key words: CATARACT SURGERY, complications of phacoemulsification, posterior capsule, and POSTERIOR CAPSULE TEARs. We reviewed and classified the relevant articles and discussed them.Results and conclusion: Intraoperative PCT is the most common type of PCT and can occur during any stage of CATARACT SURGERY. Conventional management consists of prevention of mixture of cortical matter with vitreous, dry aspiration, and anterior vitrectomy, if required. If PCT is detected soon after its occurrence, by using dry technique or posterior continuous curvilinear capsulorrhexis (PCCC), if possible, visual results are similar to that of patients without this complication. If a PCT occurs during phacoemulsification, low flow rate, high vaccum, and low ultrasound are advocated. Dislocated nucleus or nuclear fragments required vitrectomy and the use of perfluorocarbon liquids by a trained vitreoretinal surgeon. In the presence of a PCT, the intraocular lens (IOL) can be placed in the sulcus, if the capsular rim is available; or in the bag, if the tear is small. Scleral fixated PCIOL and ACIOL can be implanted when the PCT is large. Faced with this complication, it is best for a surgeon to approach and manage systematically. Early recognition and correct management including PCCC if possible, careful vitrectomy, removal of nucleus and cortical fragments with preservation of the capsule as much as possible. A dry technique, appropriate IOL selection and insertion will provide the best visual outcome for these patients.

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APA: Copy

MOHAMMAD RABI, H., ENTEZARI, S.M., & RAHMATI KAMEL, M.. (2002). POSTERIOR CAPSULE TEARS (PCT). BINA, 7(4), 338-354. SID. https://sid.ir/paper/42354/en

Vancouver: Copy

MOHAMMAD RABI H., ENTEZARI S.M., RAHMATI KAMEL M.. POSTERIOR CAPSULE TEARS (PCT). BINA[Internet]. 2002;7(4):338-354. Available from: https://sid.ir/paper/42354/en

IEEE: Copy

H. MOHAMMAD RABI, S.M. ENTEZARI, and M. RAHMATI KAMEL, “POSTERIOR CAPSULE TEARS (PCT),” BINA, vol. 7, no. 4, pp. 338–354, 2002, [Online]. Available: https://sid.ir/paper/42354/en

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