DR. SANDEEP MAHAJAN

, DR. GITANJLI SOOD, Dr.Ravi Garg

Abstract

Capsulorhexis in white intumescent cataract is often associated with extension leading to radial tears or biradial extension ‘Argentinian flag sign’ and associated complicaions. We describe a novel technique of managing this situation. The Vacuum-Rhexis is performed with a 24 G bent cannula attached to a ten ml glass syringe. The flap is lifted and then caught using 24 G cannula the suction is manually controlled by surgeon and the rhexis is completed using circumfrential movement. The chamber stability is well maintained as there is no leakage and bent tip gives excellent fulcrum for movement. The advantage of this technique is that as single port is used maintaining the chamber stability and needs no special surgical instruments. Vacuum rhexis is a novel surgical technique for performing successful continuous curvilinear capsulorhexis(CCC) of adequate size in white and intumescent cataracts with consistent and predictable outcome.