Clinical outcomes of management of posterior capsule rupture with air bubble techniques

AIM:To introduce a new surgical technique,air-bubble technique for the management of posterior capsule rupture(PCR)and to evaluate the safety and efficacy of the technique.METHODS:A retrospective case series analysis of 24 eyes of 24 patients,in which the air bubble technique was used for the management of PCR,was performed.Once PCR occurred,a dispersive ophthalmic viscosurgical device(OVD)was injected into the tear.And small volumes(0.2-0.3 mL)of air bubbles were injected beneath the OVD.The air bubble served as a physical barrier and supported the posterior capsule.RESULTS:After surgery,none of the patients had serious complications during the follow-up period of 1 y.Extension of the PCR size occurred in only 2 cases,and additional OVD injection was required only in 3 cases.Air bubbles imparted great stability to the nuclear pieces and the posterior capsule.CONCLUSION:The air-bubble technique may be considered a safe and effective procedure for managing a PCR.It may be of value to the inexperienced cataract surgeon.