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Updated: May 8, 2026

A Novel Technique of Rescuing Capsulorhexis Radial Tear-out using a Cystotome
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Capsulorhexis: Pearls and pitfalls.

Mehrdad Mohammadpour1, Reza Erfanian, Nasser Karimi

  • 1Eye Research Centre, Farabi Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society
|August 21, 2013
PubMed
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This review covers Continuous Curvilinear Capsulorhexis (CCC), the standard for anterior capsulotomy in cataract surgery. It details CCC principles, challenges like small pupils, and pediatric variations.

Area of Science:

  • Ophthalmology
  • Surgical Techniques

Background:

  • Anterior capsulotomy is essential for cataract surgery like phacoemulsification.
  • Continuous Curvilinear Capsulorhexis (CCC) is the established standard for anterior capsulotomy.
  • CCC techniques have evolved significantly over time.

Purpose of the Study:

  • To review the fundamental principles of Continuous Curvilinear Capsulorhexis (CCC).
  • To discuss CCC management in challenging cases, including small pupils and pseudoexfoliation syndrome.
  • To compare pediatric CCC with adult techniques and review strategies for managing extending capsulorhexes.

Main Methods:

  • Literature review of Continuous Curvilinear Capsulorhexis (CCC) techniques.
  • Analysis of CCC management in specific clinical scenarios.
Keywords:
CCC, Continuous Curvilinear CapsulorhexisCapsulorhexisCataract extractionComplicationsECCE, extracapsular cataract extractionICCE, intracapsular cataract extractionIOL, intraocular lensOVDs, Ophthalmic Viscosurgical DevicesPCCC, Posterior Continuous Curvilinear CapsulorhexisPXF, pseudoexfoliation syndromePediatric cataract surgeryPhacoemulsificationPseudoexfoliation syndromeTIPP, 2-incision push–pull

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Last Updated: May 8, 2026

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Published on: January 16, 2011

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  • Comparative review of pediatric versus adult CCC and rescue techniques.

    • Main Results:

    • CCC remains the gold standard for anterior capsulotomy in cataract surgery.
    • Specific challenges and modifications exist for small pupils, pseudoexfoliation syndrome, and pediatric cases.
    • Various techniques are available for managing and rescuing extending capsulorhexes.

    Conclusions:

    • Understanding CCC principles is crucial for successful cataract surgery.
    • Adaptations in CCC technique are necessary for complex cases and pediatric patients.
    • Effective management of CCC complications ensures optimal surgical outcomes.