DR. MITHUN THULASIDAS

Dr. GEETHA G.

Abstract

The conventional technique of continuous curvilinear capsulorhexis (CCC) using a cystotome mounted to a syringe in hypermature cataract may sometimes lead to unfortunate complications. A modified technique of capsulorhexis was attempted to improve the safety and ease of performance. The two-bend cystotome was attached to the infusion line of balanced salt solution instead of syringe and the flow was kept open. The CCC was then performed with continuous inflow. The performance of flow capsulorhexis was compared with conventional CCC in hypermature cataracts. In flow capsulorhexis group, mean completion time was shorter, mean time of viscoelastic agent supplement was less, and success rate was higher than that in conventional CCC group (P<0.05). No posterior capsule rupture was noted. We conclude that flow capsulorhexis is an efficient technique in hypermature cataracts as the continuous flow maintains the anterior chamber depth and washes the milky cortex throughout the time of rhexis.

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