DR. SARIKA JINDAL

, Dr. SANJAY CHAUDHARY

Abstract

The flap-rhexis technique best controls the rhexis running out in a white turgid cataract. The pressure of the liquified cortex on the anterior capsule is less at the periphery than at the center. With a bent 26 G needle under cover of viscoelastic, the anterior capsule is entered in mid periphery, and some liquified cortex is sucked to decompress the bag. Entry of needle in capsular bag results in a small tear of 1.0 mm. Advancing one end of this tear with a rhexis forceps often results in the other end moving out to the periphery. Flap rhexis technique involves holding the middle of the inner lip of this tear, and pulling it towards the center of the bag, thus tearing and controlling both the edges at the same time. When the center point of the capsule is crossed by about 1 mm, any one leading edge is turned towards the other, to complete a rhexis strip of approx. 3 X 1.5 mm. The rhexis is enlarged to the required size. In last 2 years, we didn’t have single case of rhexis run out.