https://www.aao.org/education/basic-skills/tips-efficient-consistent-curvilinear-capsulorrhex
Techniques for Efficient Capsulorrhexis. Drs. Joseph Fong and Ahmed Sallam demonstrate tips for an efficient and continuous curvilinear capsulorrhexis (CCC). Novice cataract surgeons should avoid several common mistakes. First, they should avoid dropping the tail (or trailing edge) of the flap directly on top of the tearing point (or base) of

https://www.youtube.com/watch?v=bjE3YLbKj20
A very simple technique for new surgeons who are struggling with the capsulorhexis is to trace the intended path with the tips of the forceps. If the forceps

https://ophthalmologybreakingnews.com/understanding-capsulorhexis--a-key-step-in-cataract-surgery
Capsulorhexis, derived from the Latin "capsula" (little container) and Greek "rhexis" (rupture), refers to the precise and controlled tear of the anterior lens capsule during cataract surgery. This procedure creates a circular opening through which the cloudy lens (cataract) can be accessed and subsequently removed.

https://theophthalmologist.com/subspecialties/the-perfect-anterior-capsulorhexis
Creation of the anterior capsulorhexis is a key stage in cataract surgery, and producing a precise rhexis is of paramount importance. The most commonly used technique to achieve this during phacoemulsification is continuous curvilinear capsulorhexis (CCC). CCC was first popularized by Gimbel, Neuhann and others (1-3) to make lens removal and

https://www.reviewofophthalmology.com/article/how-to-rightsize-your-capsulorhexis
Although you typically want to make the capsulorhexis overlap the lens optic by about 0.5 mm all the way around the optic, Richard Hoffman, MD, who practices in Eugene, Oregon, says you may discover a need to slightly increase or decrease the overlap in some cases. "The risk of making your capsulorhexis too large is that you'll have a

https://cataractcoach.com/2020/06/02/enlarge-the-capsulorhexis/
A small capsulorhexis makes nucleus removal more difficult, especially when we have a dense cataract. When the entire lens hardens and becomes sclerotic, it will be a challenge to fit parts of the 9 mm wide cataract through a small 4 mm capsulorhexis. In the case shown here, the resident surgeon makes too small of a capsulorhexis.

https://eyewiki.aao.org/Capsulorhexis_Technique
Once flap is secured, stop and extend enough flap to fold over. Continue to grab flap about 1.5 mm away from the tear point, extending the tear in a continuous curvilinear fashion putting the torn capsule back in towards the center of the eye. Continue shearing in a circular motion until completed with centered mass of capsule.

https://cataractcoach.com/2018/07/10/whats-the-secret-to-a-perfect-capsulorhexis/
The secret to the perfect capsulorhexis is multi-factorial: have great incisions which help retain viscoleastic to keep the anterior chamber formed during capsulorhexis creation. float within the incisions and pivot so that the anterior chamber is stable. use markings on the forceps to measure the capsulorhexis as it is created.

https://crstoday.com/articles/2007-oct/crst1007_11-php
DAVID F. CHANG, MD The capsulorhexis is generally considered the most important step in cataract surgery. A continuous curvilinear capsulorhexis (CCC) provides numerous surgical advantages, 1 and a continuous curvilinear capsular edge reduces the chance of a capsular tear occurring during surgery. Like an elastic waistband, the capsulorhexis will stretch—rather than tear—in response to

https://www.youtube.com/watch?v=z3MpZrjP1qU
By watching many surgeons, we can learn different ways of performing the same procedure. In this case, Dr Luis Escaf from Barranquilla, Colombia shows us a f

https://www.youtube.com/watch?v=69mgIU1GzfY
A small capsulorhexis makes nucleus removal more difficult, especially when we have a dense cataract. When the entire lens hardens and becomes sclerotic, it

https://cataractcoach.com/2020/04/12/how-to-enlarge-a-small-capsulorhexis/
Making a small capsulorhexis can make the cataract surgery more difficult. It becomes challenging to bring nuclear pieces out of the capsular bag, there is a higher risk of damage to the capsulorhexis margin, and there may be too much overlap of the IOL optic. There is a way to enlarge a small capsulorhexis after it is already completed.

https://journals.lww.com/jcrs/Fulltext/2017/03000/Capsulorhexis__The_perfect_circle.1.aspx
Such technology would not only increase the safety and improve the outcomes of cataract surgery, it would also help us explore innovative ideas, such as fixating the IOL to the capsulotomy opening. ... 14. Lee YE, Joo C-K. Open ring-shaped guider for circular continuous curvilinear capsulorhexis during cataract surgery. J Cataract Refract Surg

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446625/
Cataract surgery is the most commonly performed ophthalmic procedure worldwide with major anatomical and optical goal being, a well-centered posterior chamber intraocular lens (IOL). Anterior capsulotomy has evolved from an era of can-opener capsulotomy to circular capsulorhexis (CCC) and more recently to precision pulse anterior capsulotomy.

https://www.healio.com/news/ophthalmology/20200714/small-increase-in-capsulorrhexis-diameter-makes-big-difference-in-cataract-surgery
The capsulorrhexis is a critical step of cataract surgery because it provides access to the lens material and then securely holds the IOL.The advantage of a tearing a continuous curvilinear

https://crstoday.com/articles/2007-oct/crst1007_16-php
Finally, the surgeon should secondarily enlarge the capsulorhexis after the IOL and capsular tension ring are safely implanted, as discussed in another article in which I discuss in Pearls for Sizing the Capsulorhexis. CONCLUSION In summary, achieving an intact capsulorhexis is crucial to the safety of the cataract procedure.

https://eyewiki.aao.org/Can-Vac_CCC_(Cannula-Vacuum_Continuous_Curvilinear_Capsulorhexis):_A_Novel_Approach_for_Capsulorhexis
Cataract surgery is one of the most common surgeries performed worldwide. Ability to perform a safe capsulorhexis is paramount to success in any cataract surgery. [1] [2] Historically, many technqiues of performing capsulorhexis has been described in literature.

https://www.healthline.com/health/eye-health/secondary-cataract
A PCO, or secondary cataract, is the most common complication of surgery to remove a cataract. It develops when the capsule around your lens becomes cloudy as part of your body's wound-healing

https://www.youtube.com/watch?v=kWuUdaz22B4
Learning to perform a consistent capsulorhexis is one of the toughest steps of cataract surgery. The anterior capsule is only about 14 microns thin which is

https://mail.jptcp.com/index.php/jptcp/article/view/1359
Introduction: In several studies stated that cataract surgery is the most common surgical procedure performed in daily medical practice throughout the world. The success of cataract surgery is greatly influenced by several factors including continuous curvilinear capsulorhexis. From the existing literature to date, not much has been studied about the effect of capsular hexis size on components

https://link.springer.com/chapter/10.1007/978-3-031-47827-7_34
Because cataracts will eventually develop in patients over the age of 50 after PPV, there are two surgical approaches when performing PPV: either performing combined phacoemulsification and PPV or performing a lens-sparing vitrectomy and then performing phacoemulsification at a different setting when needed [].Advantages of combined surgery include easier and more complete removal of the

https://www.healthline.com/health/laser-surgery-for-cataracts
Laser surgery for cataracts is an effective, safe procedure in which an eye doctor uses a laser beam to remove the clouded lens and replace it with a clear artificial one. This can help improve

https://www.verywellhealth.com/lifestyle-factors-that-raise-your-risk-of-cataracts-8662483
The risk of developing cataracts increases as you age. Certain aspects of your lifestyle can raise your risk of getting cataracts. Experts recommend doing what you can to lower your risk through making health-supporting lifestyle changes. Cataracts are a vision-changing condition that many people

https://www.aao.org/education/1-minute-video/capsulorhexis-enlargement-technique
Dr. Lisa B. Arbisser demonstrates a simple and quick technique to enlarge the continuous curvilinear capsulorhexis (CCC) using intraocular scissors and Utrata forceps. ... Capsulorhexis Enlargement Technique By Lisa B Arbisser, MD. 1-Minute Video ... The Optimal IOP for the Stable Anterior Chamber in Cataract Surgery. Apr 12, 2024. The Dead Bag

https://pubmed.ncbi.nlm.nih.gov/38276263/
Purpose: To examine the effectiveness of a standardized combination of intracameral mydriatics and anesthetic (SCIMA) on mydriasis in patients with coexisting diseases such as diabetes mellitus (DM) and pseudoexfoliation syndrome (PXF) during phacoemulsification. Methods: Patients with cataract were included in the study if they achieved pupil dilation diameter ≥ 6.0 mm after the

https://www.youtube.com/watch?v=EErb_vusYzw
We have previously discussed the Little Maneuver which is a method of saving a run away capsulorhexis. In this case, the resident has two instances where con

https://kitchener.ctvnews.ca/cataract-surgery-wait-times-down-in-waterloo-region-thanks-to-local-partnership-1.6942804
It's a partnership that began in May 2021, during the COVID-19 pandemic, and one that expanded once the province gave the greenlight to increase the number of procedures. Cataract surgeries

https://www.aao.org/education/basic-skills/capsulorhexis
Capsulorhexis. Dr. Howard Gimbel demonstrates anterior and posterior capsulorhexes in various cases. The video comes from the supplement to Dr. Colvard's resident textbook, "Achieving Excellence in Cataract Surgery: A Step-by-Step Approach.". Dr. Howard Gimbel demonstrates anterior and posterior capsulorhexes in various cases.

https://www.aao.org/education/master-class-video/secondary-enlargement-of-capsulorhexis
Secondary enlargement of the capsulorhexis is then performed. The Challenge of Weak Zonules Introduction. Introduction to the Master Class; Pseudoexfoliation: Capsular IOL Fixation Strategies with Pseudoexfoliation ... A Model for Green Cataract Surgery. Apr 12, 2024. Anterior Vitreous Face Behavior During and After Phacoemulsification. Apr 12