Abstract
Purpose: To evaluate the surgical outcome difficulties and complications of managing radial tear in continuous curvilinear capsulorrhexis by using lunar punch.
Material and Methods: A prospective case series of sixteen patients who developed tear in the continuous curvilinear capsulorrhexis during cataract surgery at eye unit-III of Sindh Govt. Lyari General Hospital and Dow University of Health Sciences Karachi from July 2008 to June 2009. Upon recognition of a radial extension of the anterior capsule. Lunar Punch was introduced beneath the radial tear by rubbing over the lens cortex and punched to convert it into a lunar edge. After this maneuver capsulorrhexis was completed in a usual manner. After securing the capsulorrhexis the procedure of phacoemulsification was performed in the usual manner.
Results: There were ten (62.5%) males and six (37.2) females with a mean age of 45.5 years. Predisposing factors for extension of capsulorrhexis were shallow anterior chamber in 1(6.3%) cases, inexperienced surgeon in 6(37.6%) cases, inadequate local anesthesia in 1(6.3%) cases, intumescent cataract in 1.(63%) cases, positive vitreous pressure in 3(18.8%) cases, hypermature cataract in 2(12.2%) cases and weak zonules in 2(12.2%) cases. Some complications resulted during and after the procedure were postoperative striate keratopathy in 3 (18.8%) cases, vitreous loss in one (6.3%) case and lens dislocation in one (6.3%) case. Eleven (68.8%) cases had no complication. We achieved success in fourteen (87.5%) cases.
Conclusion: Managing radial tear in CCC by using lunar punch is a safe and effective procedure, which can be adopted easily and effectively
Shahid Wahab, Jamshed Ahmed. (2010) Instrument to Manage Radial Tear in Continuous Curvilinear Capsulorrhexis (CCC), Pakistan Journal of Ophthalmology, Volume 26, Issue 2.
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