Posters

Vitrectorhexis: a new technique to perform capsulorrhexis in mature intumescent cataracts in adults successfully

Poster Details

First Author: S.Bharti INDIA

Co Author(s):    B. Singh                    

Abstract Details

Purpose:

To evaluate the success rate and safety of performing capsulorrhexis in a mature white intumescent cataract with a vitrectomy probe in adults.

Setting:

A tertiary eye care facility Bharti Eye Foundation East Patel Nagar New Delhi 110008 India

Methods:

Capsulorrhexis is single most important step for a succesful cataract surgery with phacoemulsification. Most common complication is argetinian flag sign in these cases which leads to conversion to SICS/ECCE. 23 eyes with mature intumescent cataracts were taken in this study.There were 12 males and 11 females in the aged of 43 to 61 years. Under topical 4% Lignocain ans 1% intracameral lignocaine the anterior chamber was filled with 2% HPMC. Vitrectomy probe was inserted through a 1.2 mm side port and with vacuum of 550 mmHg an cut rate 300 a small opening in the anterior capsule is created.

Results:

Immediately on creation of the opening in anterior capsule, the liquefied cortex is aspirated in the vitrectomy probe and the intralenticular pressure is reduced immediately leading to anterior capsule becoming concave. The capsulorrhexis is then completed with a capsulotome or Utrata forceps. In all the 25 eyes the the capsulorrhexis could be completed succesfully.

Conclusions:

Vitrectorrhexis is safe and successful in creating a continuous curvilinear capsulorrhexis in adult intumescent white cataracts.

Financial Disclosure:

None