Management of Posterior Capsule Rupture Complication in Cataract Patient with High Myopia and Partial Thickness Macular Hole
Downloads
Introduction: To report clinical outcome after posterior capsule rupture complication in a cataract patient with partial-thickness macular hole. Case presentation: A 49-year-old woman was presented with blurred vision of the left eye two years before admission. The blurred vision increased, accompanied by eye dazzled on light exposure. There was a history of myopia on both eyes and partial-thickness macular hole in the left eye. The left eye visual acuity was 3/60 with S-7.00 correction became 5/12 no improvement with pinhole. There was a partial-thickness macular hole on the left eye in the optical coherence tomography macula. Cataract surgery was performed with intraoperative posterior capsule rupture (PCR) complication. Follow-up had been monitored from day-1 until day-60 postoperatively. Conclusions: The decision of performing cataract surgery prior to macular hole surgery is a good decision. Any intraoperative complication such as posterior capsule rupture should be followed up closely to avoid macular hole worsening. Long-term follow-up should be done to prevent the late complication after surgery.
Chong EW, Mehta JS. High myopia and cataract surgery. Curr Opin Ophthalmol 2016;27:45–50. https://doi.org/10.1097/ICU.0000000000000217.
Cetinkaya S, Acir NO, Cetinkaya YF, Dadaci Z, Yener HI, Saglam F. Phacoemulsificatıon in eyes wıth cataract and high myopia. Arq Bras Oftalmol 2015;78:286–289. https://doi.org/10.5935/0004-2749.20150076.
Chakrabarti A, Nazm N. Posterior capsular rent: Prevention and management. Indian J Ophthalmol 2017;65:1359–1369. https://doi.org/10.4103/ijo.IJO_1057_17.
Yao Y, Lu Q, Wei L, Cheng K, Lu Y, Zhu X. Efficacy and complications of cataract surgery in high myopia. J Cataract Refract Surg 2021;47:1473–1480. https://doi.org/10.1097/j.jcrs.0000000000000664.
McCannel CA. 2019-2020 Basic and Clinical Science Course, Section 12: Retina and Vitreous. San Fransisco: American Academy of Ophthalmology; 2020.
Ali FS, Stein JD, Blachley TS, Ackley S, Stewart JM. Incidence of and risk factors for developing idiopathic macular hole among a diverse group of patients throughout the United States. JAMA Ophthalmol 2017;135:299–305. https://doi.org/10.1001/jamaophthalmol.2016.5870.
Agarwal A. Posterior Capsular Rupture: A Practical Guide to Prevention and Management. 1st ed. New Jersey: SLACK Incorporated; 2013.
Cai L, Sun Z, Guo D, Fan Q, Zhu X, Yang J, et al. Long-term outcomes of patients with myopic traction maculopathy after phacoemulsification for incident cataract. Eye (Lond) 2019;33:1423–1432. https://doi.org/10.1038/s41433-019-0416-0.
American Academy of Ophthalmology. 2020-2021 BCSC (Basic and Clinical Science Course), Section 11: Lens and Cataract. San Fransisco: American Academy of Ophthalmology; 2020.
Copyright (c) 2022 Bimanda Rizki Nurhidayat, Dicky Hermawan

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Vision Science and Eye Health Journal by Universitas Airlangga is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The journal allows the author to hold the copyright of the article without restrictions.
The journal allows the author(s) to retain publishing rights without restrictions.
The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution-Share-Alike (CC BY-SA).
The Creative Commons Attribution-Share-Alike (CC BY-SA) license allows re-distribution and re-use of a licensed work on the conditions that the creator is appropriately credited and that any derivative work is made available under "the same, similar or a compatible license”. Other than the conditions mentioned above, the editorial board is not responsible for copyright violations.