FP103 : Posterior polar cataract – A surgical black hole

Mr.Gaurav Kapoor, K09014

Posterior polar cataract is a disorder which is dominantly inherited, however, it can be sporadic. The posterior polar cataract is tightly adherent to the underlying posterior capsule. Various studies have reported different rates of capsular dehiscence during surgery, varying from 7.1% to as high as 36%.

This was a Prospective analytical study of posterior polar cataract in which 46 eyes of 38 patients with posterior polar cataract underwent phacoemulsification with posterior chamber intra ocular lens (PCIOL) implantation. The surgical factors of interest were the rate of posterior capsular rupture (PCR), nucleus drop and postoperatively, and the best corrected visual acuity. All the patients, who underwent surgery were implanted with hydrophobic IOLS. Of the 46 eyes operated, 6 had a PCR (13.04%), two of which were patients with bilateral posterior polar cataracts. Our case series reported a PCR rate of 13.04%, which is in the reported range of 6–36% worldwide.