Management Of Intraoperative Posterior Capsular Rent And Post Operative Macular Edema

To look for proper managemnt of introperative capuslar rent and post operative macualr edema 

female patient 44 years old catract has done bilateral catract with the centorion phaco machine , first eye had capsular rent with insertion of 3 piece iol , second eye uneventful catract surgery with implanation of single piece iol in capsular bag .

diabetic catractous both eyes with posterior capsualr rent left eye 

and uneventful surgery right eye 

both eyes developed macualr edema post operatively 

44 years old patient with uncontrolled IDDM , uncorrected vision of left eye was CF , best corrected 6/36 . surgery was done with posterior cspsular rent and insertion of 3 piece iol on the sulcus , vision imporved after 6/60 after 1 week with corneal edema and macular edema , after 1 1 month to 6/9 with the use of bromefenac and predinsolone eye drops . left eye catract surgery was perfromed later with unevenful surgery , thou macular edema occured and treated with same managment 

1- careful preoperative evaluation is vital for identyfying cases who are at high risk of intraoperative -post operative complications

2-various surgical parameters should be optimised to minimize intraoperative complications 

3- post operative macular edema should be suspected in any case with vision loss after both eventfull or uneventfull surgey