Risk of Posterior Capsule Ruptures in Fellow-Eye Cataract Surgeries: A Multicenter Comparative Study.

Elhusseiny, Abdelrahman M; Toma, Joseph; Ibrahim, S Nazem; Chauhan, Muhammad Z; Rickels, Kaersti L; Dihan, Qais; Soliman, Mohamed K; Yang, Yit C; Sallam, Ahmed B

Elhusseiny, Abdelrahman M; Toma, Joseph; Ibrahim, S Nazem; Chauhan, Muhammad Z; Rickels, Kaersti L; Dihan, Qais; Soliman, Mohamed K; Yang, Yit C; Sallam, Ahmed B.

Afiliação

Elhusseiny AM; Department of Ophthalmology, Harvey and Bernice Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Toma J; Department of Ophthalmology, Harvey and Bernice Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Ibrahim SN; Department of Ophthalmology, Ain Shams University Hospitals, Cairo, Egypt.
Chauhan MZ; Department of Ophthalmology, Harvey and Bernice Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Rickels KL; Department of Ophthalmology, Ain Shams University Hospitals, Cairo, Egypt.
Dihan Q; Department of Ophthalmology, Harvey and Bernice Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Soliman MK; Department of Ophthalmology, Harvey and Bernice Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Yang YC; Department of Ophthalmology, Harvey and Bernice Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Sallam AB; Department of Ophthalmology and Visual Sciences, University Hospitals Eye Institute, Cleveland, Ohio, USA.

Semin Ophthalmol ; : 1-6, 2024 Oct 01.

Article em En | MEDLINE | ID: mdl-39350691

ABSTRACT

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).