| Purpose: To determine the short-term outcomes in eyes with posterior capsule rupture (PCR) during extracapsular cataract extraction (ECCE) and phacoemulsification performed by ophthalmic trainees.
Methods: All intraoperative complications during cataract surgery were reported prospectively as part of the quality control program of the hospital. The clinical charts of all patients who had PCR during cataract surgery done by residents from January 2000 to December 2002 were retrospectively reviewed.
Results: Posterior capsule rupture occurred in 149 (2.98%) of 4991 consecutive eyes that had extracapsular cataract extraction (ECCE) or phacoemulsification. 25 Cases were excluded from analysis for missing data, insufficient follow-up or combined procedure. Of the remaining 124 eyes, 115 (92.74%) achieved a best corrected visual acuity (BCVA) of 6/12 or better between 1 month and 3 months postoperatively. Excluding 1 eye with preexisting diabetic retinopathy with clinical significant macular oedema which contributes to impaired vision, 93.50% of patients with PCR achieved a BCVA of 6/12 or better. 8 eyes (6.50%) failed to achieve that acuity because of bullous keratopathy (1 case, 11.11%), cystoid macular edema (1 case), vitreous haemorrhage (1 case), IOL dislocation (1 case), and 1 choroidal detachment, and the other 3 cases unable to know the reason. Other complications include glaucoma, retinal detachment and endophthalmitis. These eyes achieved good vision with proper management.
Conclusions: Most eyes with PCR achieved a good BCVA in the early postoperative period. Prompt recognition and proper intra- and post-operative management can result in good visual outcome in patients with PCR.
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