Question: I had cataract surgery and the cataract surgeon tore the lens capsule and pieces of the lens fell into the back of my eye. Should the doctor be able to repair this during the surgery or would he have to send me to a specialist 5 days later?
Answer: A capsular rupture or tear is an infrequent but known possible complication of cataract surgery. The timing of the removal of lens fragments with a vitrectomy is really quite variable. Vitreoretinal surgeons who do this type of surgery have varying clinical requirements for surgery depending on a number of factors that might include the size of the lens fragments, presence of inflammation and the ability of the surgeon to control the post operative intraocular pressure (IOP). On average, waiting 5 days after the primary cataract operation is not really outside the norms depending on the exact clinical findings.
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