Dr.Rahil Chaudhary, Dr.Sanjay Chaudhary, Dr.Malik K P S
Purpose Capsulorhexis in white turgid cataract presents a challenge for every young ophthalmologist in training. High Intra Lenticular pressure poses difficulty in controlling the capsulorhexis, and can cause the capsulorhexis to radially tear out or in some cases lead to an argentinian flag sign. We present a technique which can be easily adapted by a beginner surgeon for outmost control in capsulorhexis in white turgid cataract.
Methods High intra-lenticular pressure superimposed by high external OVD pressure increases the tendency for capsulorhexis to tear out. Under low OVD external pressure, capsulorhexis is started giving a small central nick which is immediately rotated. Loose cortical matter oozing out is washed out with OVD, and a small 2.5 mm capsulorhexis is completed. Hydro-dissection flushes out loose cortex to decompress the bag, Phaco in central opening along with rocking of nucleus decompress the bag further. A secondary nick is taken on CCC and capsulorhexis enlarged to desired size.
Results A small CCC of 2.5