Capsulotomy and hydroprocedures for nucleus prolapse in manual small incision cataract surgery.
Manual small incision cataract surgery (MSICS) involves the manual removal of nucleus through a scleral tunnel. To achieve 100% success every time, one has to do a good capsulotomy and should master the technique to prolapse the nucleus into anterior chamber. During conversion from extracapsular cataract surgery to MSICS, one can perform a can-opener capsulotomy and prolapse the nucleus. However, it is safer and better to perform a capsulorrhexis and hydroprolapse the nucleus, as it makes the rest of the steps of MSICS comfortable. Use of trypan blue in white and brown cataracts makes the capsulorrhexis and prolapse simple and safe. Extra caution should be taken in cases with hypermature cataracts with weak zonules and subluxated cataracts.
Venkatesh
Rengaraj
R
Aravind Eye Hospital, Pondicherry, India. venkatesh@pondy.aravind.org
Veena
Kannusamy
K
Ravindran
Ravilla D
RD
D002387:Cataract Extraction / Q000379:methods*; D004396:Coloring Agents; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D007907:Lens Nucleus, Crystalline / Q000601:surgery*; D008866:Microsurgery / Q000379:methods*; D013524:Surgical Flaps; D014343:Trypan Blue
D004396:Coloring Agents; D014343:Trypan Blue