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Updated: Jun 3, 2026
A Novel Capsulorhexis Technique Using Shearing Forces with Cystotome
Published on: May 15, 2010
Anterior capsulotomy with an ultrashort-pulse laser
Ramon Naranjo Tackman1, Jorge Villar Kuri, Louis D Skip Nichamin
1Corneal and Refractive Surgery, National University of Mexico, Mexico City, Mexico.
Purpose:
To assess the precision of laser anterior capsulotomy compared with that of manual continuous curvilinear capsulorhexis (CCC).
Setting:
Asociación Para Evitar La Ceguera en México IAP, Hospital Dr. Luis Sánchez Bulnes, Mexico City, Mexico.
Design:
Nonrandomized single-center clinical trial.
Methods:
In patients presenting for cataract surgery, the LensAR Laser System was used to create a laser anterior capsulotomy of the surgeon's desired size. Capsule buttons were retrieved and measured and then compared with buttons retrieved from eyes having a manually torn CCC. Deviation from the intended diameter and the regularity of shape were assessed. When removing the capsule buttons at the start of surgery, the surgeon rated the ease of removal on a scale of 1 to 10 (1 = required manual capsulorhexis around the whole diameter; 10 = button free floating or required no manual detachment from remaining capsule during removal).
Results:
The mean deviation from the intended diameter was 0.16 mm ± 0.17 (SD) for laser anterior capsulotomy and 0.42 ± 0.54 mm for CCC (P=.03). The mean absolute deviation from the intended diameter was 0.20 ± 0.12 mm and 0.49 ± 0.47 mm, respectively (P=.003). The mean of the average squared residuals was 0.01 ± 0.03 and 0.02 ± 0.04, respectively (P=.09). The median rating of the ease of removal was 9 (range 5 to 10).
Conclusions:
Laser anterior capsulotomy created a more precise capsule opening than CCC, and the buttons created by the laser procedure were easy to remove at the beginning of cataract surgery.
