Intraoperative management of anterior capsular tear
Majid Moshirfar1, David F Skanchy, Tirth Shah
1aDepartment of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah School of Medicine, Salt Lake City, Utah bHDR Research Center, Hoopes Vision, Draper, Utah cThe University of Texas Health Science Center at Houston, McGovern Medical School, Houston, Texas dUniversity of Arizona College of Medicine - Phoenix, Arizona, USA.
Purpose Of Review:
The article reviews the current literature on intraoperative techniques to properly manage anterior capsular tears during cataract surgery.
Recent Findings:
Femtosecond laser-assisted cataract surgery creates a more consistent capsulorhexis than traditional capsulotomies, but can also present with new challenges. Irregularities, like microadhesions and tags, can lead to anterior tears if not properly treated. New technology, like the Zepto (Mynosys, Fremont, CA, USA) pulse precision capsulotomy, may produce a smoother edge and reduce the incidence of capsular tears. However, there are novel rescue techniques in the case that a tear-out does occur.
Summary:
Anterior capsular tears can occur at any stage of cataract surgery. The proper management of these tears will prevent them from extending into the posterior capsule and compromising the structural integrity of the capsular bag. This is essential for endocapsular placement of artificial lenses and for optimal visual outcomes for the patient.
