Push-pull technique of capsulorhexis for fibrous plaques on anterior capsules in pediatric cataract surgery

We describe the adaptation of two-incision push-pull technique for performing continuous capsulorhexis in children's eyes with anterior capsules having large fibrous plaque in the center. This technique uses the fibrous plaque as a template for directing the force vectors to achieve a controlled tear and a continuous capsulorhexis. We used the technique in 12 eyes of six children with successful capsulorhexis in 10 eyes and peripheral extension of rhexis in 2 eyes.