ABSTRACT

To evaluate postoperative elinical results of patients with posterior capsule tear developed during phacoemulcifıcation surgery.

Study was done between April 2002 and March 2006 in İstanbul Education and Resean·h Hospital. Clinical results of 75 eyes of 75 patients (mean age: 62.3±2.2) who had posterior capsular tear or ::.onular dıalysis during plıacoemulsifıcatıon surgery for cataract. Meanfo/low up was 10± 1.6 months. Best corrected vısual acuity (BCV A) and postoperatıve complications were evaluated.

Posterior capsule tear and zamdar dialysis wa; complicated in 54 (%72) and 21 (%28) patients re;pectively. Anterior vıtrectomy was performed in 39 (54%) eyes. Primary intraocular lens (İOL) implantation was performed in 70 eyes. Secondary İOL inıplantation was performed in 4 eyes. Capsule tensıon ring was implanted to 16 eyes (80%) witlı zonular dialysıs. Anterior chanıber reactıon was seenin 1 eye in the early postoperatıve period. Retinat detaclınıent was developedin 3 eyes. Best corrected visual acuıty was increased in 67 cases (89%).

With appropriate surgıcal approaciı and anterior vitrectomy in patients witlı posterior capsule tear, visual prognosis can be reasonable. Since the postoperative comp/ications may decrease the visual acuity, a long and metıculousfollow-up periodısa must.