[Intraocular implants in the posterior chamber after intraoperative posterior capsule tear].

PURPOSE

To present the results of cataract surgery with IOLs implantation complicated by posterior capsule tear.

MATERIAL AND METHODS

38 eyes of 38 patients with cataract, operated on between August 1993 and May 1994 were examined. In all cases posterior capsule tear occurred during surgery but the IOLs were supported by the residual capsule or, when the tear was large, by the residue of the anterior capsule with haptics being placed in the ciliary sulcus.

RESULTS

Useful visual acuity was achieved in 78% of the eyes. The main complications observed in post-operative period were increase of intraocular pressure in 11 eyes, dislocation of IOL in 4 and dyscoria in 24 eyes.

CONCLUSION

The applied surgical technique seems to be very useful in cases of posterior capsule tear but in each case the surgeon must decide what is the best for the eye: anterior or posterior chamber IOL.