Posterior Capsular Rent Genesis and Management
This book deals with a potentially sight threatening complication - rupture of the posterior capsule – during cataract surgery. This handbook covers the management of this problem from 3 perspectives: 1.Identifying patients at higher risk and me
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Posterior Capsular Rent Genesis and Management
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Posterior Capsular Rent
Arup Chakrabarti Editor
Posterior Capsular Rent Genesis and Management
Editor Arup Chakrabarti Chief Cataract and Glaucoma Services Chakrabarti Eye Care Centre Trivandrum Kerala India
Additional material to this book can be downloaded from http://link.springer.com/ 978-81-322-3584-2 ISBN 978-81-322-3584-2 ISBN 978-81-322-3586-6 (eBook) DOI 10.1007/978-81-322-3586-6 Library of Congress Control Number: 2017931396 © Springer India 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer (India) Pvt. Ltd. The registered company address is: 7th Floor, Vijaya Building, 17 Barakhamba Road, New Delhi 110 001, India
Foreword I
A universal fear of those who perform cataract surgery is posterior capsule rent. Although it doesn’t top most of our lists as the highest anxiety producer, it’s solidly on the list. We fear it, not so much because it is a terrible thing in and of itself, but because it travels in the company of so many other unpleasant things. We dread the unpleasant conversation we will have with the patient and their family after the surgery. We dread explaining “What went wrong?” and why this never happens “to any of my friends or relatives.” It is all very unpleasant, even though the experience of posterior capsule rent is a common one. All of us have been there, at least those who have done more than a handful of cataract operations. We feel personally responsible for this particular complication, and most of the time we are. Of course, we are not to blame for posterior capsule dehiscence in the occasional posterior polar cataract, or for iatrogenic tears produced by our vitreoretinal colleagues, or for capsular holes in eyes with a history of penetrating ocular injury. We take the fall for the rest, however. Although more dire things can happen during cataract surgery than
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