How serious is posterior capsule rupture?

Abstract

Posterior capsule rupture remains an important intrasurgical complication with considerable controversy regarding its management. Some surgeons still recommend anterior vitrectomy routinely. Others will not insert a posterior chamber implant. And most are worried about the poor visual result. In this paper, based on an analysis of 62 eyes, we illustrate how we manage the problem: anterior vitrectomy was usually not required; a posterior chamber lens implant is almost always inserted and the visual result of 6/12 vision and better was found in 86% of afflicted eyes. The importance of prevention is emphasized and the significance of good management is also discussed.