Effect and outcomes of posterior capsule rupture in a district general hospital setting

Ang, Ghee Soon; Whyte, I.F.

doi:10.1016/j.jcrs.2006.01.047

Cited by 68 publications

(48 citation statements)

References 16 publications

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“…[15][16][17][18][19] Studies have documented the incidence of PCTs to range from 2.1 to 9.9% in resident-performed surgeries, 15-21 although these incidences were higher than those reported by experienced surgeons (0.45-2.5%), 20,22,23 and the incidence of VL was from 1.8 to 14.7%. The rates differed depending on the studies.…”

Section: Discussionmentioning

confidence: 99%

Increased intraocular pressure on the first postoperative day following resident-performed cataract surgery

Kim

Brauner

et al. 2011

Eye

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Purpose The aim of this study was to investigate the incidence of intraocular pressure (IOP) elevation after residentperformed cataract surgery and to determine variables, which influence postoperative day 1 (POD1) IOP. Conclusions IOP elevation on the first postoperative day following residentperformed cataract surgery occurred frequently (22.0%). Increased early postoperative IOP was associated with presence of glaucoma and ocular hypertension, higher preoperative IOP, and longer axial length.

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Section: Discussionmentioning

confidence: 99%

Increased intraocular pressure on the first postoperative day following resident-performed cataract surgery

Kim

Brauner

et al. 2011

Eye

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“…Ang 38 reported a final best-corrected visual acuity of 6/12 or better in 84.4% of eyes after posterior capsule rupture in a district general hospital setting. There was, however, an impact on the patients in terms of additional surgical procedures, additional medication, and the number and duration of follow-up reviews.…”

Section: Discussionmentioning

confidence: 99%

Vitreous loss during cataract surgery: prevention and optimal management

Jacobs

2008

Eye

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Vitreous loss during cataract surgery is associated with a poor visual outcome. Experienced surgeons and those performing a high volume of cataract operations have lower rates of vitreous loss. Risk stratification systems, which allow prediction of intraoperative complications from preoperative criteria exist, so that less experienced surgeons can avoid higher risk cases. The management of vitreous loss includes counselling patients before surgery of the potential risks and complications. When vitreous loss occurs, it is important for the surgeon to avoid actions which increase the chance of disaster for the eye. These include phacoemulsification in the presence of vitreous and attempts to recover dropped lens fragments from the posterior segment without vitrectomy. There are advantages in performing an anterior vitrectomy by the pars plana route rather than through the anterior chamber and this approach is facilitated by sutureless 23-gauge instruments. Dislocation of lens nuclear fragments into the vitreous is associated with a high incidence of retinal detachment as well as secondary glaucoma and cystoid macular oedema. Early involvement of a retinal surgeon in the management of these eyes is recommended.

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“…A publication by Ang and Whyte [40 ]in 2006 described the outcomes of posterior capsular rupture in a district general hospital setting showing a CME rate of only 2.2%. This shows the general heterogeneity of appearance and/or diagnosis of CME in clinical settings.…”

Section: Cystoid Macular Edemamentioning

confidence: 99%

“…This shows the general heterogeneity of appearance and/or diagnosis of CME in clinical settings. In fact, the authors discussed their unexpected low CME rate as an eventual failure of diagnosing all cases of CME [40]. This might also be explained by the CME expression representing mild to severe forms itself, and also by the time points of follow-up examination after surgery; thus, ‘missing’ of proper diagnoses seems possible.…”

Section: Cystoid Macular Edemamentioning

confidence: 99%

Retinal Complications after Damaging the Vitreolenticular Barrier

Framme

Wolf²

2011

Ophthalmologica

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This article gives an overview of the vitreal anatomy and its changes in ageing, which have a significant impact on the two main retinal complications after damage of the vitreolenticular barrier, namely retinal detachment and cystoid macular edema. The possible reasons and pathomechanisms for this entity of retinal diseases in the context of anterior segment interaction are highlighted, and a summary of references is provided showing the epidemiology and consequences of such interventions.

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Effect and outcomes of posterior capsule rupture in a district general hospital setting

Cited by 68 publications

References 16 publications

Increased intraocular pressure on the first postoperative day following resident-performed cataract surgery

Increased intraocular pressure on the first postoperative day following resident-performed cataract surgery

Vitreous loss during cataract surgery: prevention and optimal management

Retinal Complications after Damaging the Vitreolenticular Barrier

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