ISJ Theoretical & Applied Science 03(71) 2019

Philadelphia, USA

Avais, B., Hasan, A., & Aftab, F.

Phacoemulsification resulting in posterior capsular rupture; A most common complication.

Full Article: PDF

Scientific Object Identifier: http://s-o-i.org/1.1/TAS-03-71-1

DOI: https://dx.doi.org/10.15863/TAS.2019.03.71.1

Language: English

Citation: Avais, B., Hasan, A., & Aftab, F. (2019). Phacoemulsification resulting in posterior capsular rupture; A most common complication. ISJ Theoretical & Applied Science, 03 (71), 1-4. Soi: http://s-o-i.org/1.1/TAS-03-71-1 Doi: https://dx.doi.org/10.15863/TAS.2019.03.71.1

Pages: 1-4

Published: 30.03.2019

Abstract: OBJECTIVE: This study done to determine most common complication of phacoemulsification that is rupture of posterior capsule of lens. Study Design: it is a retrospective study. Duration of study: In this study data was taken of previous 7 months from January 2018 to July 2018. Setting: Study was conducted in Mayo Hospital Lahore Ophthalmology Ward Pakistan. Patients and Methods: Total 75 cases were studied. These cases were admitted in the ward on opd bases. A Proforma was designed for documenting all data related to the patient. Proper written consent was taken from in charge of the ward for conducting this study. Data was collected from previous record of the ward. After operation all cases in study group were retained in the ward for 2-4 days. These cases were called for follow-up after one week and complications were evaluated in them. Results were calculated in the form of frequencies and data was analyzed using Microsoft office and SPSS version 2007. Data was expressed in the form of tables and graphs. Results: There were 180 cases which underwent phacoemulsification during given period of study on elective basis. These cases were admitted and prepared for surgery after taking anesthesia fitness etc. Complete data of these cases was collected from previous record of the ward. Their operation noted and all investigations, indication of surgery and all investigations and procedure notes were seen. Out of these 180cases 75(32%) cases developed complications related to the procedure. Posterior capsular rupture was reported in these cases due to different reasons. Most common cause of this complication was heated phacoemulsification tip in 30 cases. In 15 patients rotation of nucleus was its cause. Out of these 62 cases 6(9.7%) cases got capsular rupture during lens implantation, in 11(17.7%) cases trauma by simco cannula, in 8(12.9%) cases capsular rupture occurred during dialing of intra ocular lens. Trauma by chopper tip occurred in 3(4.8%) cases. It was seen that most common cause of lens rupture was heated phacoemulsification tip followed by rotation of nucleus second most common cause. Conclusion: During phacoemulsification we should take care throughout the procedure as capsular rupture may happen in any stage of the procedure. Osmotic balance of lens and surrounding environment is most important. Heated tip of phacoemulsification is the major cause of rupure of lens.

Key words: phacoemulsification, lens rupture, posterior capsular rupture.