Title: Prospective Study to find out whether Continuous Curvilinear Capsulorrhexis is mandatory to achieve a Good Result in Phacoemulsification
Author: Dr. K.M Suresh, MBBS, MS (OPH)
DOI: http://dx.doi.org/10.18535/jmscr/v4i2.22
Aim of this study is to find out whether it is mandatory to do Curvilinear continuous capsulorhexis(CCC) to achieve a good result in phacoemulsification. Materials and methods consisted of a prospective, randomised study of 150 patients, out of which75 patients with cataract who were operated by CCC technique before phacoemulsification with intraocular lens implantation(IOL), categorized into group1 and another group2, where in, in another 75 cataract affected patients, can-opener technique of anterior capsulotomy was done before phacoemulsification with lens implantation. The results of both the groups were tabulated and compared. The results obtained, showed that there was no significant, clinical and statistical differences between the values of two groups. The study concluded that even though it is appreciable to do CCC before phacoemulsification, it is not mandatory to do this method, prior to phacoemulsification, as can-opener technique of anterior capsulotomy done, before phacoemulsification with intraocular lens implantation (IOL), is as effective as the former 1. Al-Attar L., Smiddy W.E., Schiffman J.C. Foldable versus rigid intraocular lenses in conjunction with pars plana vitrectomy and other vitreoretinal procedures. J Cataract Refract Surg. 2004;30(5):1092–1097. [PubMed] 2. Arshinoff S. Mechanics of capsulorhexis. J Cataract Refract Surg. 1992;18(6):623–628.[PubMed] 3. Assia E.I., Apple D.J., Tsai J.C. The elastic properties of the lens capsule in capsular-hexis .Am J Ophthalmol. 1991;111(5):628–632. [PubMed] 4. Auffarth G.U., Reuland A.J., Heger T. Cataract surgery in eyes with iridoschisis using the Perfect Pupil iris extension system. J Cataract Refract Surg. 2005; 31(10):1877–1880.[PubMed] 5. Belovay G.W., Varma D.K., Ahmed I.I. Cataract surgery in pseudoexfoliation syndrome CurrOpin Ophthalmol. 2010;21(1):25–34. [PubMed] 6. Bohm P., Horvath J., Zahorcova M. Irrigating iris retractor for complicated cataract surgery. J Cataract Refract Surg. 2009;35(3):419–421. [PubMed] 7. Budning A., Rosen J. The elastic properties of the lens capsule in capsulorhexis. Am J Ophthalmol. 1991;112(4):474–475. [PubMed] 8. Caporossi A., Balestrazzi A., Alegente M. Trypan blue staining of the anterior capsule: the one-drop technique. Ophthal Surg Lasers Imaging. 2005;36(5):432–434. [PubMed] 9. Chang D.F. Use of Malyugin pupil expansion device for intraoperative floppy-iris syndrome: results in 30 consecutive cases. J Cataract Refract Surg. 2008;34(5):835–841.[PubMed] 10. Chang D.F., Braga-Mele R., Mamalis N. ASCRS White Paper: clinical review of intraoperative floppy-iris syndrome. J Cataract Refract Surg. 2008;34(12):2153–2162.[PubMed] 11. Comer R.M., Abdulla N., O’Keefe M. Radiofrequency diathermy capsulorhexis of the anterior and posterior capsules in pediatric cataract surgery: preliminary results. J Cataract Refract Surg. 1997;23(Suppl. 1):641–644. [PubMed] 12. Corey R.P., Olson R.J. Surgical outcomes of cataract extractions performed by residents using phacoemulsification. J Cataract Refract Surg. 1998;24(1):66–72. [PubMed] 13. Cruz O.A., Wallace G.W., Gay C.A. Visual results and complications of phacoemulsification with intraocular lens implantation performed by ophthalmology residents. Ophthalmology. 1992;99(3):448–452. [PubMed] 14. Desai P., Minassian D.C., Reidy A. National cataract surgery survey 1997–8: a report of the results of the clinical outcomes. Br J Ophthalmol. 1999;83(12):1336–1340.[PMC free article] [PubMed] 15. Dholakia S.A., Praveen M.R., Vasavada A.R. Completion rate of primary posterior continuous curvilinear capsulorhexis and vitreous disturbance during congenital cataract surgery. J AAPOS. 2006;10(4):351–356. [PubMed] 16. Dick H.B., Krummenauer F., Augustin A.J. Healon5 viscoadaptive formulation: comparison to Healon and Healon GV. J Cataract Refract Surg. 2001;27(2):320–326.[PubMed 17. Andreo L.K., Wilson M.E., Apple D.J. Elastic properties and scanning electron microscopic appearance of manual continuous curvilinear capsulorhexis and vitrectorhexis in an animal model of pediatric cataract. J Cataract Refract Surg. 1999;25(4):534–539. [PubMed] 18. Bartholomew L.R., Wilson M.E., Jr., Trivedi R.H. Pediatric anterior capsulotomy preferences of cataract surgeons worldwide: comparison of 1993, 2001, and 2003 surveys. J Cataract Refract Surg. 2007;33(5):893–900. [PubMed] 19. Buratto L. 2nd ed. SLACK Inc.; Thorofare, NJ: 2003. Phacoemulsification: principles and techniques. 20. Dada V.K., Sudan R., Sharma N. Trypan blue with a viscoelastic agent. J Cataract Refract Surg. 2002;28(2):205–206. [PubMed]Abstract
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