Dr. Satyajit Sinha, S06634
Aim – The aim of this study was to make the process of making a CCC easy and reproducible and reduce the incidence of PCO, economical.
Method – At the beginning of phacoemulsification surgery, in 28 patients , the cornea was dried and the IOL to be inserted was centered top of the epithelium. Eight cardinal points were marked on the cornea at the margin of the IOL at 9, 10;30, 12, 1:30, 3, 4:30, 6 and 7:30 O’Clock positions. IOL was kept aside, AC was entered and Rhexsis was completed being 1mm within the margin of the cardinal points marked on the epithelium. In 23 patients, rhexsis was made relying on routine surgical skills.
Results – Rhexsis made by following the marks on the epithelium were far more predictable, reproducible and reduced the incidence of PCO.
Conclusion – Laser anterior capsulotomy or different instruments available for making a rhexsis, incur costs. In this method, at no extra cost, the rhexsis size was predictable being slightly smaller than the size of the IOL.