Related Experiment Video
Updated: Jun 16, 2026

A Novel Technique of Rescuing Capsulorhexis Radial Tear-out using a Cystotome
Published on: January 16, 2011
Crossed-swords, capsule-pinch technique for capsulotomy in pediatric and/or loose lens cataract extraction
Michael E Snyder1, Luke B Lindsell
1Cincinnati Eye Institute, 1945 CEI Drive, Cincinnati, Ohio 45242, USA. msnyder@cincinnatieye.com
Abstract:
Puncturing the anterior capsule in a patient with a very soft lens, an elastic capsule, and/or deficient zonular countertraction can be challenging even with a sharp needle or blade. The crossed-swords, capsule-pinch technique capitalizes on opposing forces from 2 needles directed toward each other with a "pinch" of the capsule between their tips. This affords a controlled and facile puncture of the capsule without creating stress on the zonules or anteroposterior displacement of the lens.

