Lens Anterior Capsule Opening Procedures

Abstract

Manual Small Incision Cataract Surgery (MSICS) and phacoemulsification are two of the most commonly performed cataract surgeries worldwide. The opening of the anterior capsule step is arguably the most critical for a successful MSICS and phacoemulsification. Technique employed for this task have undergone sustained evolution from Vogt technique to can opener capsulotomy and continuous curvilinear capsulorhexis and evolution of new instruments and machines from cystitome, capsular forceps to laser assisted capsulotomy helped the surgeon to achieved continuous, curvilinear and circular capsulorhexis. Each technique have their own advantages and disadvantages. The mechanical capsulotomies that are performed by femtosecond laser and zepto are functionally similar to capsulorhexis but much more expensive in cost. Manual capsulotomies are still performed where mechanical capsulotomy is not feasible. This article discusses the technique, advantages, disadvantages and complication related to continuous curvilinear capsulorhexis.