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Extracapsular cataract extraction poses higher risk of posterior rupture than phaco

Br J Ophthalmol. 2008;92(11):1476-1478.

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Extracapsular cataract extraction resulted in posterior capsule rupture more frequently than phacoemulsification, a study found. Patients younger than 40 years had higher rates of posterior capsule rupture.

The study authors aimed to report visual outcomes after posterior polar cataract surgery and assess risk factors for posterior capsule rupture.

The study included 81 eyes of 59 patients. Sixty-one eyes underwent phacoemulsification, 17 eyes had extracapsular cataract extraction, and three eyes underwent manual small-incision cataract surgery.

The results showed posterior capsule rupture occurring in 25 eyes (31%). Posterior capsule rupture was more prevalent in patients younger than 40 years and in the extracapsular cataract extraction group. Two eyes had nucleus drop during phacoemulsification surgery.

Mean postoperative visual acuity was 20/30 or better in 76 eyes, the authors reported.