Abrar Ali, Tabassum Ahmed, Tahir Ahmed.
Posterior capsular rupture during phacoemulsification.
Pak J Surg Nov ;23(1):70-2.

Objective: To find out the reasons for Posterior Capsular Rupture during Phacoemulsification in our cases. Design & Duration: Retrospective study from 2001 to 2005. Setting: Hamdard University Hospital and Nisar Eye Hospital, Karachi. Patients: A total of 300 patients who underwent Phacoemulsification were included in the study. Cases with +4 nuclei and those operated in camps were not included in this study Methodology: After thorough examination and investigations the patients were operated, mostly under retrobulbar anaesthesia. First follow up was on the first post operative day and then after one week, three weeks and eight weeks. Results: Posterior capsular rupture was the most common intra-operative complication, seen in around 16% of our initial phacoemulsification cases. In most (43%) cases it was caused by the sharp and heated phaco tip. Conclusion: In every stage of the phacoemulsification we have to be very careful. Fluid dynamics change during phacoemulsification that may lead to rupture of the thin posterior capsule, and we should be alert to save it.

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