Dr. ASHIT SHAH

, Dr. SHREYA SHAH, Dr.MEHUL SHAH, Dr.BHUMI CHANDARANA

Abstract

A CRUCIAL STEP IN CATARACT SURGERY IS MAKING AN OPENING IN ANTERIOR CAPSULE I.E. ANTERIOR CAPSULOTOMY.CAPSULORHEXIS, TECHNIQUE PIONEERED BY HOWARD GIMBEL,HAVE UNDERGONE SUSTAINED EVOLUTION.CONTINUOUS CURVILINEAR CAPSULORHEXIS(CCC) HAS BECOME THE STANDARD METHOD OF ANTERIOR CAPSULOTOMY. AIM:DISCUSS VARIOUS ASPECTS OF CAPSULORHEXIS, EXPLAIN KEYPOINTS FOR WELLCONSTRUCTED CAPSULORHEXIS & PERFORMING CCC IN DIFFICULT SITUATIONS.IN THIS VIDEO, WE EVALUATE ELEMENTARY PRINCIPLES OF CCC. DISCUSSING MANAGEMENT OF CCC IN PRESENCE OF DIFFICULT SITUATIONS LIKE SMALL PUPIL, PSEUDOEXFOLIATION SYNDROME, BLACK CATARACT, MEDIA OPACITY, CAPSULAR FIBROSIS ETC. DISCUSSING DIFFERENCES OF PEDIATRIC CCC FROM ITS ADULT-STYLE COUNTERPART. PEDIATRIC CAPSULORHEXIS IS CHALLENGING SURGICAL TECHNIQUE BECAUSE OF ELASTICITY OF PEDIATRIC ANTERIOR CAPSULE.TECHNIQUES OF RESCUE OF EXTENDING CAPSULORHEXIS ARE ALSO SHOWN. CONCLUSION: A WELL-CONSTRUCTED CAPSULORHEXIS IS THE FOUNDATION OF COMPLICATION-FREE CATARACT SURGERY.