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Causes include weak zonules, posterior polar cataracts, and improper phacoemulsification technique with excessive instrument manipulation. Early detection is supported by swept-source optical coherence tomography and intraoperative assessments. Prevention emphasizes meticulous surgical planning, careful hydrodissection, appropriate phaco power, and stable anterior chamber control. After rupture, prompt anterior vitrectomy and individualized IOL selection help reduce vitreous loss, retained fragments, and complications such as cystoid macular edema, retinal detachment, and endophthalmitis.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/posterior-capsular-rent-prevention-recognition-and-management-a-review/456556/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/posterior-capsular-rent-prevention-recognition-and-management-a-review/456556.png","ImageObject",300,407,{"name":92,"@type":93},"OmBimo","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-07","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is posterior capsular rent (PCR) and why is it clinically important?","Question",{"text":112,"@type":113},"Posterior capsular rent is a significant intraoperative complication of cataract surgery. It can produce vision-threatening consequences if not promptly recognized and properly managed.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What are key prevention strategies for PCR during surgery?",{"text":117,"@type":113},"Prevention focuses on meticulous surgical planning, careful hydrodissection, judicious use of phaco power, and maintaining anterior chamber stability. Techniques such as slow-motion phacoemulsification, FLACS, and capsule-stabilizing devices can reduce risk in high-risk cases.",{"name":119,"@type":110,"acceptedAnswer":120},"How should PCR be managed once a rupture occurs?",{"text":121,"@type":113},"After PCR, prompt and careful management is essential to prevent vitreous loss, retained lens fragments, and IOL malposition. Anterior vitrectomy with bimanual or coaxial techniques helps clear vitreous and reduce traction on the retina, followed by postoperative monitoring for complications.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},456556,1790792385,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},962090893581,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","| Access this article online |\n| --- |\n| Quick Response Code: |\n| |\n| Website:\u003Cbr>[http://journals.lww.com/TJOP](http://journals.lww.com/TJOP) |\n| DOI:\u003Cbr>10.4103/tjo.TJO-D-25-00059 |\n\nDepartment of Ophthalmology, Rajan Eye Care Hospital Private Limited, Chennai, Tamil Nadu, India  \n*Address for correspondence:  \nDr. Madhuvanthi Mohan, Rajan Eye Care Hospital Private Limited, Chennai, Tamil Nadu, India.  \nE-mail: madhuu93@ [gmail.com](gmail.com)  \nSubmission: 09-04-2025  \nAccepted: 23-06-2025  \nPublished: 24-09-2025  \nReview Article-Narrative Review  \nTaiwan J Ophthalmol 2025;15:549‑558  \nPosterior capsular rent – Prevention, recognition, and management – Areview  \nMohan Rajan, Arthi Mohankumar, Madhuvanthi Mohan*, Sujatha Mohan  \nAbstract:  \nWe prefer using posterior capsular rent is a significant intraoperative complication of cataract surgery, often leading to vision‑threatening sequelae if not promptly recognized and appropriately managed. PCR can result from various factors, weak zonules, posterior polar cataracts, including improper phacoemulsification techniques, and excessive instrument manipulation. Early recognition is critical, and swept‑source optical coherence tomography and intraoperative assessments can enhance early detection. Prevention strategies focus on meticulous surgical planning, careful hydrodissection, judicious use of phaco power, and maintaining anterior chamber (AC) stability. Techniques such as slow‑motion phacoemulsification, femtosecond laser‑assisted cataract surgery (FLACS), and capsule‑stabilizing devices can reduce the risk of PCR in high‑risk cases. Once a rupture occurs, prompt and careful management is essential to prevent further complications such as vitreous loss, retained lens fragments, or intraocular lens (IOL) malposition. Anterior vitrectomy using bimanual or coaxial techniques is crucial for clearing vitreous from the AC and preventing traction on the retina. The choice of IOL implantation depends on the extent of PCR, with options including sulcus‑fixated, iris‑fixated, scleral‑fixated, or ACIOLs when capsular support is inadequate. Postoperative management includes monitoring for cystoid macular edema, retinal detachment, and endophthalmitis, which are more common following PCR. This review underscores the importance of surgical vigilance, adherence to best practices, and an individualized approach to optimizing the visual outcomes following this challenging complication.  \nKeywords:  \nAphakia, cataract surgery, intraocular lens implantation, posterior capsular rent, posterior capsular rupture  \nIntroduction  \nAl t h o u g h t h e r e s u  \nphacoemulsification and  \nl t s o f cataract  \nsurgery in general are exceptional at present, surgical complications can still occur . Posterior capsular rent (PCR) is the most common vision‑threatening complication encountered by a cataract surgeon . It can occur with beginner as well as experienced surgeons . Once a PCR occurs, it might require additional surgical steps and sometimes even further procedures, an increase in the number of  \nThis is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercialNoDerivatives 4.0 License (CC BY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.  \nFor reprints [contact:](contact: WKHLRPMedknow_reprints@wolterskluwer.com)[ WKHLRPMedknow_reprints@wolterskluwer.com](contact: WKHLRPMedknow_reprints@wolterskluwer.com)  \npostoperative visits, and a higher incidence of complications.  \nHence, it is important to manage the PCRand its complications in an appropriate manner to give the best possible visual outcome for the patient.  \nThis can be done by the following:  \nPrevention of Posterior Capsular Rent  \nRisk factors for PCR  \nIt is important to assess the risk factors of PCR. They can be classified into preoperative  \nHow to ci","cbCainis9Z3BWfVm","https://ap.wps.com/l/cbCainis9Z3BWfVm","pdf",998904,"English","# Introduction\n# Prevention of Posterior Capsular Rent\n## Risk factors for PCR\n### Preoperative factors\n#### General factors\n#### Extraocular factors\n### Intraocular factors\n## Corneal opacities","[{\"question\":\"What is posterior capsular rent (PCR) and why is it clinically important?\",\"answer\":\"Posterior capsular rent is a significant intraoperative complication of cataract surgery. It can produce vision-threatening consequences if not promptly recognized and properly managed.\"},{\"question\":\"What are key prevention strategies for PCR during surgery?\",\"answer\":\"Prevention focuses on meticulous surgical planning, careful hydrodissection, judicious use of phaco power, and maintaining anterior chamber stability. Techniques such as slow-motion phacoemulsification, FLACS, and capsule-stabilizing devices can reduce risk in high-risk cases.\"},{\"question\":\"How should PCR be managed once a rupture occurs?\",\"answer\":\"After PCR, prompt and careful management is essential to prevent vitreous loss, retained lens fragments, and IOL malposition. Anterior vitrectomy with bimanual or coaxial techniques helps clear vitreous and reduce traction on the retina, followed by postoperative monitoring for complications.\"}]","Posterior capsular rent - Prevention, recognition, and management - A review | PDF",1790746376,25]