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Updated: Jan 25, 2026

A Novel Capsulorhexis Technique Using Shearing Forces with Cystotome
Published on: May 15, 2010
Cannula-vacuum continuous curvilinear capsulorhexis: Inexpensive technique for intumescent total cataract
Shreesha Kumar Kodavoor1, Bijita Deb1, Dandapani Ramamurthy1
1Cataract and Refractive Services, The Eye Foundation, Coimbatore, India.
Abstract:
We report a new, inexpensive technique for creating a continuous curvilinear capsulorhexis (CCC) for intumescent total cataract. Peribulbar anesthesia is administered. A nick is created using a regular 26-gauge cystotome. Through a side port, the free capsule flap is vacuumed using the flat tip of a 25-gauge round cannula connected to a 5 mL syringe. Suction pressure is created by withdrawing the piston of the syringe in a controlled motion to create a curvilinear capsulorhexis without withdrawing the instrument from the anterior chamber. Next, liquefied cortex is aspirated with the same cannula. Complete vacuum was achieved with the cannula in 197 (98.5%) of 200 cases; 3 cases (1.5%) had capsulorhexis extension and vacuum was not achieved. The new cannula-vacuum CCC technique is safe and affordable and might be an alternative to conventional CCC performed using a 26-gauge cystotome or a Utrata or micro capsulorhexis forceps.
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