Intracapsular Implantation of the Single–piece AcrySof Intraocular Lens in the Presence of Limited Capsular Tears

Abstract

Abstract: : Purpose:To evaluate the intraoperative and postoperative safety and effectiveness of intracapsular implantation of a single–piece AcrySof SA60 intraocular lens (IOL) in the presence of limited capsular tears. Methods:Retrospective review of eyes that underwent phacoemulsification by ophthalmology residents over a 6 month period in which limited capsular tears occurred without intraoperative vitreous presentation, and in which single–piece AcrySof SA60 IOLs were implanted into the capsular bag. Results:Single anterior radial tears occurred in 13 eyes, and a small posterior capsular tear occurred in 1 eye. Most tears occurred due to resident surgical inexperience. Ophthalmology residents were able to successfully implant the AcrySof SA60 in all eyes without visible extension of capsular tears. All patients with good potential vision achieved uncorrected visual acuity of 20/40 or better by one month postoperatively. Postoperative IOP, lens centration and opacification, and CME were examined. Risk factors for capsular tear were also noted. One patient with two radial tears had postoperative vitreous presentation at the pupillary border with persistent postoperative inflammation. Conclusions:The single–piece AcrySof SA60 IOL can safely be implanted into the capsular bag in the presence of limited capsular tears. Ophthalmology residents can successfully perform this procedure under appropriate guidance.

Keywords: cataract • clinical (human) or epidemiologic studies: outcomes/complications