Posterior Capsular Rent: Genesis and Management

✍ Scribed by Arup Chakrabarti (eds.)

• Publisher: Springer India
• Year: 2017
• Tongue: English
• Leaves: 278
• Edition: 1
• Category: Library

✦ Synopsis

This book deals with a potentially sight threatening complication - rupture of the posterior capsule – during cataract surgery. This handbook covers the management of this problem from 3 perspectives:

1.Identifying patients at higher risk and measures to manage such patients by surgical discipline

2.Intraoperative management of posterior capsular rupture (PCR) to minimize long-term complications

3.Post-operative care for a patient who has a PCR

Cataract surgery is the most commonly performed surgical procedure in ophthalmology and despite tremendous technical and technological advancements, PCR still occurs. PCR occurs both in the hands of experienced senior surgeons and the neophyte surgeons, although with a higher frequency in the latter group. Additionally, certain types of cataracts are prone to this development. If managed properly in a timely manner the eventual outcome may be no different from that of an uncomplicated case. However, improper management may lead on to serious complications with a higher incidence of permanent visual disability.

Written for experienced and not-so-experienced eye surgeons alike to understand and manage PCR.

✦ Table of Contents

Front Matter....Pages i-xix
Front Matter....Pages 1-1
Incidence and Significance of Posterior Capsule Rupture in Cataract Surgery....Pages 3-9
Front Matter....Pages 11-11
Anatomy of the Human Crystalline Lens....Pages 13-16
Anatomy of Vitreous....Pages 17-20
Front Matter....Pages 21-21
Predisposing Factors for Posterior Capsular Rent....Pages 23-31
Surgical Pearls to Minimize the Incidence of Posterior Capsule Rent....Pages 33-41
Management Strategies for Cataracts with Preexisting Posterior Capsular Rent....Pages 43-56
Front Matter....Pages 57-57
Posterior Capsular Rent: Early Recognition....Pages 59-62
The Primary Posterior Continuous Curvilinear Capsulorhexis....Pages 63-66
Management Strategies for Early Posterior Capsular Rents During Phacoemulsification Surgery....Pages 67-71
Pars Plana Anterior Vitrectomy for the Anterior Segment Surgeon....Pages 73-89
Management of Posterior Capsule Rent: Various Case Scenarios....Pages 91-108
Management of Posterior Capsule Rent: Various Case Scenarios....Pages 109-117
Management of Posterior Capsular Rent: Various Case Scenarios....Pages 119-130
Posterior-Assisted Levitation Technique....Pages 131-136
Appropriate OVD Strategy to Optimize Outcomes in Posterior Capsular Rent....Pages 137-141
Posterior Capsular Rent in the Setting of Femtosecond Laser-Assisted Cataract Surgery (FLACS)....Pages 143-150
PC Tear in the Setting of a Premium Lens (Toric/Multifocal/Accommodating)....Pages 151-158
Posterior Capsular Rent in a Glaucoma Patient....Pages 159-165
Converting from Phacoemulsification to Manual Small-Incision Cataract Surgery....Pages 167-176
Front Matter....Pages 177-177
Intraocular Lens Management in the Presence of Posterior Capsular Rent....Pages 179-188
Front Matter....Pages 177-177
Anterior Chamber Intraocular Lens in Posterior Capsular Rent....Pages 189-204
Iris Claw Intraocular Lens in Posterior Capsule Rent....Pages 205-210
Iris-Sutured Intraocular Lens in Posterior Capsular Rent....Pages 211-215
Iris Fixation of Intraocular Lens....Pages 217-220
Sutured Scleral-Fixated Intraocular Lens in Posterior Capsular Rent....Pages 221-226
Sutureless Intrascleral Haptic-Fixated Posterior Chamber Intraocular Lens in Posterior Capsular Rent....Pages 227-233
Glued Intrascleral Haptic Fixation of an Intraocular Lens (Glued IOL)....Pages 235-244
Front Matter....Pages 245-245
Anterior Segment Complications of Posterior Capsular Rupture....Pages 247-251
Management of Posterior Segment Complications of Posterior Capsular Rent....Pages 253-272
Back Matter....Pages 273-279

✦ Subjects

Ophthalmology;Surgery;Internal Medicine