Clinical outcomes of management of posterior capsule rupture with air bubble techniques

To introduce a new surgical technique, air-bubble technique for the management of posterior capsule rupture (PCR) and to evaluate the safety and efficacy of the technique. A retrospective case series analysis of 24 eyes of 24 patients, in which the air bubble technique was used for the management of...

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Bibliographic Details
Published in:International journal of ophthalmology 2020-12, Vol.13 (12), p.2007-2011
Main Authors: Park, Jongyeop, Lee, Seungwoo, Kim, Jinhyun
Format: Article
Language:English
Subjects:
air bubble technique
Brief Report
cataract
posterior capsule rupture
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Summary:To introduce a new surgical technique, air-bubble technique for the management of posterior capsule rupture (PCR) and to evaluate the safety and efficacy of the technique. A retrospective case series analysis of 24 eyes of 24 patients, in which the air bubble technique was used for the management of PCR, was performed. Once PCR occurred, a dispersive ophthalmic viscosurgical device (OVD) was injected into the tear. And small volumes (0.2-0.3 mL) of air bubbles were injected beneath the OVD. The air bubble served as a physical barrier and supported the posterior capsule. After surgery, none of the patients had serious complications during the follow-up period of 1y. Extension of the PCR size occurred in only 2 cases, and additional OVD injection was required only in 3 cases. Air bubbles imparted great stability to the nuclear pieces and the posterior capsule. The air-bubble technique may be considered a safe and effective procedure for managing a PCR. It may be of value to the inexperienced cataract surgeon.
ISSN:2222-3959
2227-4898
DOI:10.18240/ijo.2020.12.24