Star CanVac-continuous curvilinear capsulorhexis - A novel, safe rhexis technique in intumescent total cataracts

Achieving a complete uniform capsulorhexis in an intumescent cataract is perhaps the most crucial and challenging step for surgeons. Star CanVac CCC is a new manual technique for creating a continuous curvilinear capsulorhexis (CCC) in intumescent total cataracts. Small centripetal tears in the shap...

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Main Authors: Shreesha K Kodavoor, S Tamilarasi, Ramamurthy Dandapani, Chitra Ramamurthy, Gitansha S Sachdev
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=5;spage=1809;epage=1811;aulast=Kodavoor
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author Shreesha K Kodavoor
S Tamilarasi
Ramamurthy Dandapani
Chitra Ramamurthy
Gitansha S Sachdev
author_facet Shreesha K Kodavoor
S Tamilarasi
Ramamurthy Dandapani
Chitra Ramamurthy
Gitansha S Sachdev
author_sort Shreesha K Kodavoor
collection DOAJ
description Achieving a complete uniform capsulorhexis in an intumescent cataract is perhaps the most crucial and challenging step for surgeons. Star CanVac CCC is a new manual technique for creating a continuous curvilinear capsulorhexis (CCC) in intumescent total cataracts. Small centripetal tears in the shape of a star are created in the center of the anterior lens capsule by using a 26-G cystotome. This allows equal distribution of forces secondary to increased intralenticular pressure, thereby avoiding unidirectional or bidirectional tear extension. Subsequently, a 25-G flat-tipped fine cannula connected to a syringe is used to hold the free capsular flap. The piston of the syringe is withdrawn to create a stable suction pressure, and the rhexis is completed without withdrawing the instrument from the anterior chamber. Our technique is safe, affordable, and an alternative method to routine CCC or expensive techniques such as Femto or Zepto capsulotomy for white intumescent cataracts.
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spelling doaj.art-d5a72a4440784332a2f7cfa33b3a1ed12022-12-22T00:24:14ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892022-01-017051809181110.4103/ijo.IJO_2712_21Star CanVac-continuous curvilinear capsulorhexis - A novel, safe rhexis technique in intumescent total cataractsShreesha K KodavoorS TamilarasiRamamurthy DandapaniChitra RamamurthyGitansha S SachdevAchieving a complete uniform capsulorhexis in an intumescent cataract is perhaps the most crucial and challenging step for surgeons. Star CanVac CCC is a new manual technique for creating a continuous curvilinear capsulorhexis (CCC) in intumescent total cataracts. Small centripetal tears in the shape of a star are created in the center of the anterior lens capsule by using a 26-G cystotome. This allows equal distribution of forces secondary to increased intralenticular pressure, thereby avoiding unidirectional or bidirectional tear extension. Subsequently, a 25-G flat-tipped fine cannula connected to a syringe is used to hold the free capsular flap. The piston of the syringe is withdrawn to create a stable suction pressure, and the rhexis is completed without withdrawing the instrument from the anterior chamber. Our technique is safe, affordable, and an alternative method to routine CCC or expensive techniques such as Femto or Zepto capsulotomy for white intumescent cataracts.http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=5;spage=1809;epage=1811;aulast=Kodavoorargentinean flag signcontinuous curvilinear capsulorhexis (ccc)intumescent cataract
spellingShingle Shreesha K Kodavoor
S Tamilarasi
Ramamurthy Dandapani
Chitra Ramamurthy
Gitansha S Sachdev
Star CanVac-continuous curvilinear capsulorhexis - A novel, safe rhexis technique in intumescent total cataracts
Indian Journal of Ophthalmology
argentinean flag sign
continuous curvilinear capsulorhexis (ccc)
intumescent cataract
title Star CanVac-continuous curvilinear capsulorhexis - A novel, safe rhexis technique in intumescent total cataracts
title_full Star CanVac-continuous curvilinear capsulorhexis - A novel, safe rhexis technique in intumescent total cataracts
title_fullStr Star CanVac-continuous curvilinear capsulorhexis - A novel, safe rhexis technique in intumescent total cataracts
title_full_unstemmed Star CanVac-continuous curvilinear capsulorhexis - A novel, safe rhexis technique in intumescent total cataracts
title_short Star CanVac-continuous curvilinear capsulorhexis - A novel, safe rhexis technique in intumescent total cataracts
title_sort star canvac continuous curvilinear capsulorhexis a novel safe rhexis technique in intumescent total cataracts
topic argentinean flag sign
continuous curvilinear capsulorhexis (ccc)
intumescent cataract
url http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=5;spage=1809;epage=1811;aulast=Kodavoor
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