Outcome of surgery for atopic cataract after intraoperative posterior capsule rupture

Purpose: To evaluate the outcome of surgery for atopic cataract in patients with intraoperative posterior capsule rupture (PCR). Methods: Cataract surgery for atopic cataract was performed in a total of 215 eyes of 148 patients. We studied 152 eyes of 107 patients who had not had retinal detachment or a history of retinal surgery before surgery for atopic cataract and who had been followed for more than 6 months after surgery for atopic cataract. The incidence of postoperative retinal detachment was analyzed with regard to the presence of intraoperative PCR and whether intraocular lens (IOL) implantation was performed. Results: PCR was noted in 6 eyes (3.9%), including 3 eyes in which IOL implantation was performed. Postoperative retinal detachment occurred in 2 eyes (66.7%) with IOL implantation and 1 eye (33.3%) without IOL implantation and in only 4 (2.7%) of 146 eyes without PCR (p=0.0011). Postoperative retinal detachment developed due to giant retinal breaks in all 3 eyes with PCR. Conclusions: The decision to implant an IOL during surgery for atopic cataract should be made very carefully in patients with PCR, with consideration of prophylactic treatment to prevent postoperative retinal detachment.