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Updated: Sep 27, 2025

A Novel Capsulorhexis Technique Using Shearing Forces with Cystotome
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Continuous Curvilinear Capsulorhexis - A Practical Review.

Tal Corina Sela1,2, Amir Hadayer2,3

  • 1Clalit Health Services, Tel Aviv, Israel.

Seminars in Ophthalmology
|April 7, 2022
PubMed
Summary

Continuous curvilinear capsulorhexis (CCC) is the standard for cataract surgery, offering safe lens access. Mastering this technique requires understanding its physics, innovations, and complication management for optimal surgical outcomes.

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Area of Science:

  • Ophthalmology
  • Surgical Techniques
  • Cataract Surgery

Background:

  • Continuous curvilinear capsulorhexis (CCC) is the established standard for anterior capsulotomy in modern cataract surgery.
  • While CCC provides safer lens access, it presents a steeper learning curve than previous methods.
  • A thorough understanding of the underlying physics is crucial for successful CCC and complication avoidance.

Purpose of the Study:

  • To comprehensively review existing knowledge on CCC.
  • To provide a practical guide for performing CCC in cataract surgery.
  • To consolidate information on CCC techniques, innovations, and management strategies.

Main Methods:

  • A systematic literature review was performed using major scientific databases (PubMed, Embase, Cochrane, Scopus).
Keywords:
CCCCapsulorhexisCataract extractionContinuous curvilinear capsulorhexiscapsulotomy

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  • Emphasis was placed on current and relevant information regarding CCC.
  • The review covers CCC evolution, approaches, instrumentation, techniques, complications, and management.

    • Main Results:

    • The review details the historical development and various approaches to CCC.
    • It discusses available instruments, essential tips, and optimal setup for CCC.
    • Recent innovations, common complications, and preventative/management strategies are also covered.

    Conclusions:

    • This paper offers a practical and comprehensive overview of continuous curvilinear capsulorhexis.
    • It serves as a valuable resource for surgeons seeking to master or refine their CCC technique.
    • Understanding CCC principles and potential challenges is key to successful cataract surgery.