Crossed-swords, capsule-pinch technique for capsulotomy in pediatric and/or loose lens cataract extraction.
Puncturing the anterior capsule in a patient with a very soft lens, an elastic capsule, and/or deficient zonular countertraction can be challenging even with a sharp needle or blade. The crossed-swords, capsule-pinch technique capitalizes on opposing forces from 2 needles directed toward each other with a "pinch" of the capsule between their tips. This affords a controlled and facile puncture of the capsule without creating stress on the zonules or anteroposterior displacement of the lens.
Cincinnati Eye Institute, 1945 CEI Drive, Cincinnati, Ohio 45242, USA. msnyder@cincinnatieye.com
Michael E
ME
Snyder
Luke B
LB
Lindsell
D015783:Aniridia / Q000150:complications / Q000601:surgery; D019923:Capsulorhexis / Q000379:methods; D002386:Cataract / Q000150:complications; D002387:Cataract Extraction / Q000379:methods*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D007906:Lens Subluxation / Q000150:complications / Q000601:surgery; D011677:Punctures / Q000379:methods*