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  • Title: [Rupture of the posterior capsule and the implantation of an artificial lens].
    Author: Chiseliţă D, Apătăchioae D.
    Journal: Oftalmologia; 1997; 41(1):57-61. PubMed ID: 9138498.
    Abstract:
    OBJECTIVE: Study of the incidence and side effects of the posterior capsule ruptures in a clinical trial. MATERIAL AND METHODS: Retrospective study of cases with posterior capsule ruptures encountered in a series of 162 with elective extracapsular extraction and posterior chamber lens implantation. RESULTS: Intraoperative posterior capsule ruptures occurred in 16 cases (10.12%), 4 cases without vitreous loss and 12 cases with vitreous loss. 12 cases were managed by simple posterior chamber lens implantation of with scleral or iris suture; in 4 cases we preferred anterior chamber implants with flexible haptic: average postoperative visual acuity was 0.74 in the group with intact posterior capsule and 0.45 in the group with posterior capsule ruptures; average postoperative visual acuity was 2 lines higher in the group with posterior capsule ruptures without vitreous loss as compared with the group with posterior capsule ruptures and vitreous loss; postoperative complications were more frequent in the group with posterior capsule ruptures; intraocular lens descentrations were more frequent and more serious in the group with posterior capsule ruptures. CONCLUSIONS: Posterior capsule ruptures negatively affects the late functional results due to higher rate of major complications and to difficulties in artificial lens implantation.
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