title: Postage stamp multiple anterior capsulorhexisotomies in pediatric cataract surgery.
abstract: BACKGROUND
  Capsule related complications are common following pediatric cataract surgery. We report a new technique of multiple anterior capsulorhexisotomies after lens aspiration and intraocular lens (IOL) implantation.
  
  
  METHODS
  After performing automated lens aspiration, an IOL was implanted into the capsular bag. A bent 26 gauge needle was introduced through one side port and multiple small cuts were made in one half of the circumference of the anterior capsular rim by making a radial movement of the needle tip centripetally over the margin of the anterior capsular rim. The needle was again introduced through the other side port and multiple similar cuts were made in the other half thereby creating nearly 20 - 30 cuts at the margin of the anterior capsular rim.
  
  
  RESULTS
  The mean size of the primary capsulorhexis was 4.33 +/- 0.20 mm. A uniform enlargement of the capsulorhexis could be performed in all the eyes without peripheral extension in any of the eyes. There was no damage to the posterior capsule and no scratch mark on the IOL. In one eye, the primary capsulorhexis was slightly eccentric, though it was covering the IOL optic all around. The rhexisotomies in this eye were limited to the capsular rim that was overlapping more on the IOL optic (sectoral anterior capsulorhexisotomies).
  
  
  CONCLUSIONS
  The technique of postage stamp anterior capsulorhexisotomies is a feasible technique in pediatric cataracts.
authors.affiliation: Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi - 110029, India. titiyal@rediffmail.com
authors.forename: Jeewan S
authors.initials: JS
authors.lastname: Titiyal
authors.forename: Rajesh
authors.initials: R
authors.lastname: Sinha
authors.forename: Namrata
authors.initials: N
authors.lastname: Sharma
authors.forename: Rasik B
authors.initials: RB
authors.lastname: Vajpayee
mesh_terms: D019923:Capsulorhexis / Q000379:methods*; D002386:Cataract / Q000150:complications; D002648:Child; D002675:Child, Preschool; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D018918:Phacoemulsification / Q000379:methods*