Posterior capsule rupture (PCR) increases the risk of retinal detachment because it disrupts the natural barrier between the front and back compartments of the eye.
The posterior capsule normally separates the anterior segment (where cataract surgery occurs) from the vitreous cavity and retina. When it tears, vitreous gel can move forward. This traction can transmit force to the retina.
Retinal detachment occurs when the retina separates from the wall of the eye, often due to small retinal tears caused by vitreous traction.
Published UK National Ophthalmology Database (NOD) data show that PCR increases the relative risk of retinal detachment approximately 15–20 fold compared to uncomplicated surgery ¹. Importantly, the absolute risk remains low, but it is significantly higher than baseline ².
When PCR occurs, careful anterior vitrectomy is performed to remove prolapsed vitreous and minimise traction. Post-operatively, patients are monitored closely for:
- Flashes of light
- New floaters
- A shadow or “curtain” in vision
Early detection allows prompt retinal repair ³.
At Blue Fin Vision®, patients with PCR are counselled specifically about retinal symptoms and provided urgent access pathways if needed.
Retinal detachment is uncommon, but vigilance is key.
References
- Day AC, Donachie PHJ, Sparrow JM, Johnston RL. The Royal College of Ophthalmologists’ National Ophthalmology Database Study of cataract surgery: report 1, visual outcomes and complications. Eye (Lond). 2015;29(4):552-560.
- Erie JC, Raecker ME, Baratz KH, Schleck CD, Robertson DM. Risk of retinal detachment after cataract extraction. Ophthalmology. 2006;113(11):2026-2032.
- Clark A, Morlet N, Ng JQ, Preen DB, Semmens JB. Risk for retinal detachment after phacoemulsification. Ophthalmology. 2012;119(5):916-921.
Related Topics
- What is Posterior Capsule Rupture?
- Why is my risk of retinal detachment increased after PCR?
- Why is there increased cystoid macular oedema (CMO) after PCR?
- Why might my eye pressure rise after PCR?
- When will I be seen again after PCR?
- What does PCR mean for my bilateral surgery?
- Will my vision be ok after posterior capsule rupture?
- Will my vision be ok after dropped nucleus surgery following PCR?
- How long will the operation take if PCR occurs?
- Can I go to Moorfields for a second opinion instead?
- If I seek a second opinion, can I still have my corrective surgery at Blue Fin Vision®?
- What happens to my fees if I cancel the second eye after PCR?
- Is my risk higher for the second eye if I had PCR in the first?
- What is anterior vitrectomy and why is it performed after PCR?
- What is a three-piece monofocal lens and why is it used after PCR?
- What is a sulcus supplementary (Sulcoflex) lens?
- What is dropped nucleus and why does it happen after PCR?
- What is expulsive suprachoroidal haemorrhage and why is it mentioned with PCR?
- Why does pseudoexfoliation increase the risk of PCR?
- Why do very dense cataracts increase the risk of PCR?
- Is posterior capsule rupture negligence?
