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M. Nagahara, H. Saitou, Y. Mori, M. Hirota; Intracapsular Implantation of the Single – Piece AcrySof Intraocular Lens in the Posterior Capsular Tears . Invest. Ophthalmol. Vis. Sci. 2005;46(13):812.
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Purpose: To evaluate the postoperative safety and effectiveness of intracapsular implantation of a single – piece AcrySof SA60 intraocular lens ( IOL ) in the posterior capsular tears. Methods: Retrospective review of eyes that underwent phacoemulsification by ophthalmology residents over a one year period in which posterior capsular tears occurred with vitreous loss, and in which single – piece AcrySof SA60 IOLs were implanted into the ruptured capsular bag after anterior vitorectomy. Results: Symmetrical posterior radial tears occurred in 8 eyes , and asymmetrical posterior capsular tears occurred in 4 eyes . Most tears occurred due to resident surgical inexperience. We were able to successfully implant the AcrySof SA60 in all eyes without visible extension of posterior capsular tears. Postoperative visual acuity, IOP, lens centration and capsular opacification , and CME were examined. Risk factors for posterior capsular tear were also noted, but there was no risk in our experience. All patients with good potential vision achieved corrected visual acuity of 20 / 20 or better by two weeks postoperatively. Conclusions: The single – piece AcrySof SA60 IOL can safely be implanted into the capsular bag in the posterior capsular tear. Ophthalmology surgeons can successfully perform this procedure under appropriate guidance.
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