Comparison of sequential 2 stage v/s single stage 5mm capsulorhexis in intumescent cataracts

Poster Details

First Author: H.Tak INDIA

Co Author(s):                  

Abstract Details

Purpose:

To compare the outcome of Sequential 2 stage v/s Single stage 5mm capsulorrehxis in Intumescent Cataracts

Setting:

Rawat Eye & Phaco Surgery Centre, Jaipur, India

Methods:

76 eyes with intumescent cataracts were included in the study. In 40 eyes Single stage 5mm capsulorrhexis was made with microcapsulorrhexis forceps. In 36 eyes Sequential 2 stage 5mm capsulorrhexis was made in which at first stage a small capsulorrhexis of 1-2mm was made with cystitome or microcapsulorrhexis forceps followed by aspiration of cortical matter with 27 G cannula which helps in decreasing the intralenticular pressure and in Second stage the capsulorrhexis was enlarged to 5 to 5.5 mm with microcapsulorrhexis forceps

Results:

8 out of 40 eyes (17.5%) in Single stage rrhexis group developed extension of capsulorrhexis till equator. 1 eye had Argentinian flag sign i.e. developed extension on both sides till equator. In 7 cases Single Piece foldable Acrylic lens was placed in Capsular bag and in 1 case which had argentinian flag sign 6mm single piece PMMA lens was placed in the Ciliary Sulcus. 100% success rate of completion of capsulorrhexis was achieved in Sequential 2 Stage Capsulorrhexis group

Conclusions:

Sequential 2 Stage Capsulorrhexis is better than Single stage capsulorrhexis for Intumescent Cataracts with minimal chances of extension of anterior capsulorrhexis FINANCIAL DISCLOSURE?: No