Dr.ANUSHA AJWANI, Dr.Rohit Shetty
A critical step in cataract surgery is to make a window in anterior capsule,i.e, Continuous Curvilinear Capsulorhexis (CCC) which is now recognized as the standard method of anterior capsulotomy. In the presence of common surgical risk factors like small pupil (PXF syndrome),hypermature cataracts, shallow AC, high positive pressure, weak zonules,etc CCC may be a challenging procedure and can extend around the equator into the posterior capsule comprimising the integrity of the capsular bag and leading to unfavourable consequences such as vitreous loss, residual nucleus or cortex, suboptimal IOL location and stability and even nucleus drop. This video gives an insight about such complications that can occur in difficult cases and how to manage them appropriately using the different techniques available. Lens capsule acts just like a cellophane sheet and as an unfavourable consequence tears easily at sharp angles, but an optimally sized good CCC can safely deliver nuclei of all sizes.
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