A novel capsulorhexis technique in white cataract surgery

Area of Science:

• Ophthalmology
• Surgical Innovation

Background:

• White cataracts present unique surgical challenges.
• Standard capsulorhexis techniques can be difficult in these cases.

Purpose of the Study:

• To evaluate the efficacy and safety of a novel capsulorhexis technique.
• This technique utilizes the irrigation-aspiration system of a phacoemulsification device.

Main Methods:

• A prospective study included 53 eyes from 50 patients with white cataracts.
• Patients were randomized into two groups: Group 1 (n=27) used the phaco irrigation-aspiration system for capsulorhexis.
• Group 2 (n=26) used traditional ocular viscoelastic device (OVD) and Utrata forceps for capsulorhexis.

Main Results:

• No significant differences in endothelial cell count or central corneal thickness were observed between groups.
• Complete capsulorhexis was achieved in all Group 1 eyes.
• 22 out of 26 eyes in Group 2 had complete capsulorhexis.

Conclusions:

• The novel capsulorhexis technique using the phaco irrigation-aspiration system is safe for white cataracts.
• This method offers a viable alternative to conventional OVD and forceps techniques.