Complications and Cataract Surgeon Choice

Question: I am uncertain as to whether to continue with my Cataract Surgeon as I had a complication. My Cataract operation for the left eye resulted in a tear in the posterior capsule with parts of the old lens escaping the capsule. My Cataract Surgeon did not repair the tear prior to inserting the new lens implant. The pressure in this eye rose to 56 and my surgeon scheduled a vitrectomy with a Retina surgeon to reduce the pressure. Should I consider a different surgeon for the right eye?


Answer: Although not terribly common, a tear or rupture of the posterior capsule during Cataract Surgery and Lens Implant procedure does happen every so often. This complication can happen for a number of reasons and does not necessarily suggest a poor technique or lack of capability on the part of the Cataract Surgeon. The "capsule" that surrounds the crystalline lens where the cloudy material that forms the Cataract exists is actually a very thin, fragile membrane. Certain eye anatomical features as well as the type of Cataract can make this membrane or capsule even more fragile. The decision not to perform a vitrectomy at the time of the Cataract operation may have been made based on the ability to visualize the completeness of the removal of all of the cloudy lens material and reflected the best judgement at the time of surgery. All of these considerations aside-it is never inappropriate to make the choice of an eye surgeon based on your personal comfort and confidence level in the particular individual. If you do not feel confident in his or her abilities then you should consider the choice of another surgeon who is considered the best Cataract Surgeon in your area. It is never inappropriate to have a second opinion or consultation in order to assess your confidence level.

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