Management of Posterior Capsule Rent: Various Case Scenarios

Posterior capsule rupture (PCR) along with corneal endothelial decompensation constitutes one of the commonest complications of cataract surgery with vision-threatening consequences [1]. Vitreous loss as a consequence of PCR is a dreaded intraoperative complication of cataract surgery. If not managed appropriately, it can have disastrous consequences such as endothelial decompensation, retinal detachment, endophthalmitis, recurrent uveitis, intractable glaucoma, and severe visual disability including blindness. According to various studies, the incidence of PCR varies from 0.5 to 7.5 % [2, 3] and has shown a progressive decline with the evolution of surgical techniques and technology used in cataract surgery. Owing to the surgical learning curve, PCRs are more common among beginner surgeons [4]. Cataract surgery has seen tremendous evolution since Susruta described couching, more than 3000 years ago [5]. Extracapsular cataract extraction (ECCE), first performed by Jacques Daviel in Paris in 1747, dominated till the early 1900s. Intracapsular cataract extraction (ICCE) was introduced by Smith in 1880 [6]. The subsequent decades saw the development of the classic sutured large-incision extracapsular cataract extraction, phacoemulsification, and manual small-incision cataract extraction [7].