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The intraocular lens scaffold technique in posterior capsule rupture: a case report

Poster Details

First Author: M.Sá Cardoso PORTUGAL

Co Author(s):    J. Pires   R. Matos   P. Gil   M. Mariano     

Abstract Details


Posterior capsular rupture is one of the major complications encountered by any cataract surgeon and is an especially daunting task when it occurs in the presence of retained nucleous, epinucleous and cortex. The aim is to remove all these components completely while causing the least amount of vitreous traction and without allowing any fragment drop into the posterior segment. In this presentation, we demonstrate the role of a three-piece intraocular lens (IOL) as a scaffold to prevent nuclear fragments from falling down into the vitreous cavity, in a case of posterior capsule rupture (PCR) following complicated phacoemulsification.


Centro Hospitalar do Baixo Vouga


We report the use of a foldable three-piece IOL as a scaffold for preventing the nucleus fragment from descending into the vitreous in an eye with PCR. The nuclear fragments are first elevated above the iris and vitrectomy is performed to remove vitreous from the anterior chamber and adhesions around the nuclear pieces. Afterward, the IOL is injected beneath the nuclear fragments so that the leading haptic is guided and placed above the iris while the trailing haptic is left protruding from the corneal incision. Once the IOL scaffold is established, we remove nuclear fragments and residual cortex.


The patient had no significant perioperative complications and had a good visual outcome.


After PCR, removal of residual lens material is a challenging but important goal. The IOL scaffold provided an effective, relatively noninvasive means of emulsifying moderate to soft nuclear remnants in eyes with intraoperative PCR.

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