[Implantation in the capsular sac]

Modifications have been applied to the method of anterior capsulotomy presented by Baïkoff in 1981. Conservation of the anterior capsule during extracapsular cataract extraction facilitates insertion of an implant into the capsular bag. Moreover, this method affords protection to the corneal endothelium. In the new procedure, the initial capsulotomy is limited to a linear opening from 10 to 2 o'clock. After extracapsular extraction and implantation in the capsular bag, a central piece of anterior capsule is excised. An implant specifically designed for this operative technique is used, resulting in a pure capsular fixation.