Prevalence of Posterior Capsular Rent in Mature Cataract During Manual Small Incision Cataract Surgery

Abstract

Introduction: Manual small incision Cataract surgery (MSICS) is the most common intraocular surgery performed worldwide and has advanced technically in recent years. However, as in all surgeries, complications continue depending on the surgeon, surgical technique, and patient. In order to reduce the complications in cataract surgery, many studies have been carried out to detect ocular and systemic risk factors and to take precautions against them. Materials and Methods: Mature cataract patients who can perceive light or hand motion with preoperative vision make up the study population. Preoperative assessments, including comprehensive ophthalmic evaluations and demographic data collection, are performed for every patient who is enrolled. Results: Among the 60 cases that underwent manual small incision cataract surgery, there were 13 instances of posterior capsular rent (PCR). In general, the people who had PCR were 63.86 years old. PCR happened for various reasons. Conclusion: The study found a notable occurrence of posterior capsular rent (PCR) in patients who underwent manual small-incision cataract surgery, with 13 cases out of 60 surgeries. Potential risk factors for PCR included phacodonesis, zonular dialysis, small pupils, a history of trauma, and high myopia. These findings demonstrate the significance of understanding and managing the risk factors for posterior capsular rent (PCR) in manual small incision cataract surgery to enhance patient safety and surgical outcomes.

Keywords

• manual small incision cataract surgery
• posterior capsular rupture
• mature cataract
• phacodonesis
• small pupil