目的：探讨手法小切口白内障囊外摘出术(MSICS)中晶状体后囊破裂的原因及处理方法。 方法：回顾分析360眼MSICS联合后房型人工晶状体植入术的临床资料,对其中26眼术中后囊破裂的原因和处理进行探讨。 结果：术中全部植入人工晶状体,术后矫正视力≥0.3者22眼(84.6%),无严重并发症。 结论:晶状体后囊破裂为MSICS联合后房型人工晶状体植入术中最常见并发症,可发生于诸多步骤。谨慎操作,可降低其发生率;正确处理可以获得良好的手术效果。

AIM:To study the causes and management of posterior capsule rupture(PCR) in manual small incision cataract surgery(MSICS). METHODS:The clinical datas of 360 eyes undergoing MSICS in our hospital from 2008 to 2010 year was reviewed,and the causes and management of PCR in 26 eyes were analysed. RESULTS:These 26 eyes all got intraocular lens implantation, and the number of eyes which achieved a best-corrected visual acuity of 0.3 or more was 22(84.6%).No serious complications occurred. CONCLUSION:Posterior capsule rupture which occurrs in diferent stages of the operation was the commonest intraoperative complication in MSICS. The incidence of PCR can be decreased by careful operation,and suitable management leads to satisfactory outcome.