Preoperative 532 double frequency YAG anterior capsulotomy in hypermature cataracts

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Date

2020

Journal Title

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Volume Title

Publisher

College of Ophthalmologists of Sri Lanka

Abstract

Phacoemulsification in hyper-mature cataracts is a challenge due to high intra-lenticular pressure, resulting in the capsulorhexis extending to the periphery. A continuous curvilinear capsulorhexis (CCC) is crucial to uncomplicated, safe and successful phacoemulsification and posterior chamber intraocular lens (IOL) implantation. Achieving a CCC in eyes with white hyper-mature cataract is challenging due to high intra-lenticular pressure and risk of extension of capsulorhexis (Argentinian flag sign). Various techniques such as double capsulorhexis, phacocapsulorhexis, massaging, anterior capsular puncture with a needle or YAG laser and femtosecond laser capsulorhexis have been described to prevent this complication.

Description

Keywords

YAG anterior capsulotomy, hypermature cataracts

Citation

Journal of the College of Ophthalmologists of Sri Lanka.2020;26(1):26–28.

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Review

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