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Consequences and visual outcomes of phacoemulsification cataract surgery complicated by anterior capsule tear

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Session Details

Session Title: Cataract Surgery Complications

Session Date/Time: Monday 15/09/2014 | 08:00-10:30

Paper Time: 09:38

Venue: Boulevard A

First Author: : G.Carifi UK

Co Author(s): :    C. Pitsas   V. Zygoura   R. Deshmukh   M. Miller     

Abstract Details


To observe the results of phacoemulsification cataract surgery complicated by Anterior Capsule Tear (ACT).


Moorfields Eye Hospital, London


Retrospective review of 250 consecutive phacoemulsification cataract surgery procedures complicated by ACT performed at Moorfields Eye Hospital. Biometric, intraoperative and postoperative details were recorded. Exclusion criteria were: combined surgical procedures, planned manual extracapsular cataract extraction (ECCE), and previous intraocular surgery or eye trauma. A control group of 213 consecutive uncomplicated cases operated on by a single surgeon was used for comparison. The two-tailed Fisher’s exact test was adopted.


We included 239 eyes meeting the selecting criteria set for the study. A statistically higher incidence of advanced lens opacities requiring ultrasound biometry was observed (P<0.0001). Only in 5 cases (2%) the operating surgeon converted to ECCE, a concurrent posterior capsule rupture occurred in 60 eyes (25%) with a rate of nuclear lens material drop in the posterior segment of 4% (10 cases). Over 10% of eyes (26) underwent additional surgical procedures. Higher complication rates were observed in primary ACTs and in patients older than 65. Overall, 9 eyes lost at least 2 lines of corrected distance visual acuity.


Anterior Capsule Tear can lead to other potentially serious consequences, with a relatively high incidence of secondary interventions and possible irreversible postoperative sight loss.

Financial Interest:


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