Chief & Presenting Author: Prof. Dr. Shalini Kumari

Co Author(s): Prof. Dr. Shalini Kumari

Abstract

Creating a CCC in intumescent cataract is quite challenging. Absence of red glow, capsular fragility and high intralenticular pressure make it susceptible to high rates of intraoperative complications. Capsulorhexis tears can suddenly extend to periphery i.e., sudden radialization. After staining the anterior capsule, a small rhexis can be made first. To reduce high intralenticular pressure, some superficial loose cortical matter can be aspirated. In the next step, small CCC is enlarged using micro-scissor & rhexis forcep. The key to create an adequate-sized CCC is to release the rhexis flap after every few clock hours & again hold the base of rhexis flap to apply adequate mix of centripetal & tangential force. Once extended, a small nick with micro scissor is given and a fresh rhexis is initiated. Hydrodissection is done gently to avoid extension. Emulsification of nucleus is done slowly. IOL haptic is placed away from site of extension to avoid putting any stretching force.