Risk of posterior capsule ruptures in fellow-eye cataract surgeries: a multicenter comparative study.
No Thumbnail Available
Authors
Yang, Yit C
Issue Date
2024-10-01
Type
Article
Peer-Reviewed Publication
Peer-Reviewed Publication
Keywords
Aged
Cataract
Comparative study
Fellow-eye
Female
Phacoemulsification
Human
Incidence
Ocular posterior capsular rupture
Male
Middle aged
Multicentre study
Peer-reviewed article
Posterior capsular rupture
Retinal tear
Retrospective study
Risk factors
United Kingdom
Cataract
Comparative study
Fellow-eye
Female
Phacoemulsification
Human
Incidence
Ocular posterior capsular rupture
Male
Middle aged
Multicentre study
Peer-reviewed article
Posterior capsular rupture
Retinal tear
Retrospective study
Risk factors
United Kingdom
Journal
Seminars in Ophthalmology
Volume
40
Issue
1
Alternative Title
Abstract
Purpose: To quantify the risk of posterior capsule rupture (PCR) in fellow-eye phacoemulsification surgery and to determine risk factors.
Methods: We pooled data from 8 United Kingdom sites for patients undergoing bilateral non-simultaneous phacoemulsification. Main outcome measures were the incidence and risk factors of the development of PCR during the fellow-eye phacoemulsification.
Results: We included 66,288 patients with a mean age of 75.3 ± 10.2 years. PCR during phacoemulsification occurred in the first eye in 932 patients (1.4%) and the fellow eye in 1039 patients (1.5%). The risk of fellow eye developing PCR in patients with PCR in the first eye was significantly higher than in patients without first eye PCR: 30 patients (3.2%) vs. 1009 (1.5%), respectively (odds ratio (OR) = 1.7, 95% confidence interval (CI) = 1.1-2.7). Other risk factors for fellow-eye PCR included zonular dialysis (OR = 5.4, CI = 3.3-7.8) and advanced cataract (OR = 2.8, CI = 2.1-3.7).
Conclusions: History of PCR in the first-operated eye is an independent risk factor for PCR in the fellow eye.
Citation
Elhusseiny AM, Toma J, Ibrahim SN, Chauhan MZ, Rickels KL, Dihan Q, Soliman MK, Yang YC, Sallam AB. Risk of Posterior Capsule Ruptures in Fellow-Eye Cataract Surgeries: A Multicenter Comparative Study. Semin Ophthalmol. 2024 Oct 1:1-6. doi: 10.1080/08820538.2024.2409154. Epub ahead of print. PMID: 39350691.