Secondary Enlargement of Capsulorhexis

David Chang, MD

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Floppiness of the anterior capsule and deformation of a round rhexis during CTR insertion are subtle signs of weak zonules. In this case of PXF, David F. Chang, MD, demonstrates the use of curved Gills Uthoff capsule scissors to enlarge the capsulorhexis to the diameter of the IOL.

Posted: 3/17/2014

Keywords:

Capsulotomy/Capsulorrhexis

•

Cataract

•

Cataract Surgery

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Cataract

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Name: Secondary Enlargement of Capsulorhexis
Uploaded: 2014-03-17T15:37:00+00:00
Description: Floppiness of the anterior capsule and deformation of a round rhexis during CTR insertion are subtle signs of weak zonules. In this case of PXF, David F. Chang, MD, demonstrates the use of curved Gills Uthoff capsule scissors to enlarge the capsulorhexis to the diameter of the IOL.

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Secondary Enlargement of Capsulorhexis

David Chang, MD

Posted: 3/17/2014

Keywords:

Capsulotomy/Capsulorrhexis

•

Cataract

•

Cataract Surgery

•

Cataract

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Comments

Lane Ulrich

6 years ago

The use of scissors to restart or enlarge the rhexis has really helped me a lot too. In residency they would teach using a cystotome to restart, but there never seemed to be enough tension on the capsule to make it predictably. In the situation in this video I think that I would consider use of a laser after the eye settled if it looked like a phimosis situation might further dehisce zonules. Great work showing how the capsule can be further torn under loose circumstances.

on nicolae-sebastian

7 years ago

I just tried this maneuver, but imediately after grasping de small flap,it run out right to the equator.I suppose the entire capsule was under tension,with the Iol haptics exerting pressure from "inside" the bag...Any suggestion? Thank you.

david h

10 years ago

Why you enlarge the capsulorrexis AFTER IOL implantation?

Secondary Enlargement of Capsulorhexis

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Secondary Enlargement of Capsulorhexis

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