Dr. Sanjay Chaudhary
Capsulotomy is the most important step for a successful phaco surgery. A central round 5 mm diameter capsulotomy with a strong edge is becoming all important. A rhexis going wrong can jeopardize the whole surgical process. Manual capsulotomy takes time to master, but masters still face problems.
Automation was a natural step forward and Femto laser was the first technique used to gain a better control on the capsulotomy. It edge strength is questionable and has limitations of use as in corneal opacities etc.
Zepto bridged the gap between Manual and Femto. A suction cup with nitinol ring did a thermo capsulotomy and created an edge about three times stronger than manual or femto. Useful in corneal opacities, subluxated cataracts etc, it still has limitations.
Capsulaser gets attached to the operating microscope and has greater flexibility, but the eye has to be entered, anterior capsule primed with trypan blue and chamber formed with visco, before the laser can act
| 1 | Manual Capsulotomy – pros and cons | Dr. Noshir Minoo Shroff | |
| 2 | Zepto Capsulotomy – pros and cons | Dr. Sanjay Chaudhary | watch video |
| 3 | Femto capsulotomy – pros and cons | Dr. Vasavada AbhaykumarRaghukant | watch video |
| 4 | Capsulaser and newer options – pros and cons | Dr. Kamal Bandhu Kapur | |
| 5 | A general ophthalmologists point of view | Dr. Dr. Sanjay Chaudhary |
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