Capsule complication during cataract surgery: Retinal detachment after cataract surgery with capsule complication

Abstract

The risk for RD after cataract surgery increased significantly when a capsule complication occurred, leading to poor final visual acuity in most cases.

Decreasing rate of capsule complications in cataract surgery

“…Previously, our group performed a case-control study comparing 324 cases with a capsule complication and 331 control cases, randomly selected from the year 2003 in the NCR database. [9][10][12][13] The study, among other things, showed increased care costs, worse long-term outcomes, and a higher rate of retinal detachment after an intraoperative capsule complication. Various risk factors for a capsule complication were identified; however, the sample was limited.…”

“…Even so, extractions with capsule complications can be very difficult to handle and late complications, such as endophthalmitis or retinal detachment, may follow, with devastating consequences. [9][10] The Swedish National Cataract Register (NCR) 11 began including posterior capsule complication as a complication variable with mandatory registration in the registry form starting in January 2002. The aim of the present investigation was to define the incidence of capsule complication in Sweden and its risk factors over an 8-year period (2002 through 2009).…”

Evidence-based guidelines for cataract surgery: Guidelines based on data in the European Registry of Quality Outcomes for Cataract and Refractive Surgery database

“…A capsule complication is associated with a risk for poor outcome, more costs, additional care, and other subsequent complications. 22,23 A capsule complication has been reported in 1.9% to 5.2% of cases, 24 but a recent publication reports a decreasing rate of this complication over time. 24 Other less frequent surgical complications are iris trauma, corneal damage, and optical errors due to wrong IOL power.…”

Pseudoexfoliation: High risk factors for zonule weakness and concurrent vitrectomy during phacoemulsification

“…Pupillary block is more common in eyes without a posterior capsule, corneal edema is likely related to greater posterior segment manipulation, and bleeding issues are likely related to greater posterior segment manipulation. 30,31 Of note, early or late postoperative PC IOL decentration, dislocation, or subluxation occurred in 18 (1.7%) of 1021 eyes in the no-vitrectomy group, and 11 required IOL repositioning or exchange. This rate of IOL displacement is not unexpected given that 22 eyes (2.1%) in the novitrectomy group had confirmed zonule weakness at the time of surgery and it is well documented that late dislocation can occur in eyes with PXF postoperatively, presumably as a result of progressive zonulysis.…”