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Abstract #95240 Published in IGR 22-2

Perfect anterior capsulorhexis using a dented cystitome

Khadia A; Ghosh A; Gupta I; Mouttapa F; Veena K; Venkatesh R
Indian Journal of Ophthalmology 2021; 69: 1311-1313

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We describe a novel intraoperative technique of measuring and creating an adequate size continuous curvilinear capsulorhexis (CCC) in phacoemulsification, using a dented cystitome as the ruler. A pair of curved tenotomy scissors is used to create a dent on the cystitome at a distance of 2.5 mm length (i.e., half of the desired approximate capsulorhexis diameter). The dented cystitome is used as a guide for making a CCC of approximately 5 mm diameter, which is considered adequate for phacoemulsification. This method of measuring the capsulorhexis helps in achieving a well centered and stable intraocular lens with a 360° overlap of the optic edge by the anterior capsular rim in the postoperative period. Using a dented cystitome for capsulorhexis mandates reliable and consistent results in the hands of the novice as well as the experienced surgeons.

Department of Paediatric Ophthalomology Services, Aravind Eye Care System, Pondicherry, India.

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