DR. APEKSHA KATARIA

, Dr.MEHUL SHAH, Dr. SHREYA SHAH, DR. RUPALI BARNWAL

Abstract

SYNOPSIS: ANTERIOR CONTINUOUS CURVILINEAR CAPSULORHEXIS IS A PROCEDURE OF CREATING A WINDOW TO THE LENS BY SHEAR AND STRESS FORCES

A STRONG, INTACT CAPSULORHEXIS IS CRUCIAL TO SAFE, SUCCESSFUL SURGERY. IT PRESERVES THE NATURAL ARCHITECTURE OF THE CAPSULAR BAG, RESISTS THE DEVELOPMENT OF RADIAL TEAR, AND FACILITATES IN-THE-BAG POSTERIOR CHAMBER INTRAOCULAR LENS IMPLANTATION. ALTHOUGH IT IS DIFFICULT TO PERFORM CAPSULORHEXIS IN CASES OF FIBROTIC SCLEROTIC ANTERIOR CAPSULE, PEDIATRIC CAPSULES, PSEUDOEXFOLIATION, SUBLUXATED LENS, HYPERMATURE MORGANIAN, INTUMESCENT CATARACT, IRREGULAR RUPTURE OF ANTERIOR CAPSULE POST TRAUMA

THIS VIDEO DEMONSTRATES VARIOUS APPROACHES TOWARDS MANAGING CAPSULES IN DIFFICULT CASES

CONCLUSION: WE DESCRIBE A SIMPLE, CONTROLLED TECHNIQUE THAT EXTENDS THE POSSIBILITY OF ROUTINELY ACHIEVING A CONTINUOUS CURVILINEAR CAPSULORHEXIS AND THUS ALLOWS FOR SAFE SURGERY AND WELL-CENTERED ININ-THE-BAGNTRAOCULAR LENS EVEN IN EYES WITH DIFFULT CAPSULES