Clinical Ophthalmology (Feb 2023)
Primary Posterior Continuous Circular Capsulorhexis without the Use of Ophthalmic Viscosurgical Device
Abstract
Pavel Studeny,1,2 Tomas Benda1,2 1Ophthalmology Department, University Clinic Kralovske Vinohrady and 3rd Faculty of Medicine, Charles University, Prague, Czech Republic; 2Eye Centrum SOMICH, Karlovy Vary, Czech RepublicCorrespondence: Pavel Studeny, Šípková 36, Karlovy Vary, 36007, Czech Republic, Email [email protected]: Performing primary posterior capsulorhexis (PPCCC) during cataract surgery is an effective prevention of secondary cataracts. It is important not to damage the anterior vitreous membrane to minimize the possible complications and adverse side effects of this step of the surgery. Most authors use a viscoelastic material to protect the anterior vitreous membrane, injected into the space between the posterior lens capsule and the vitreous membrane through a small hole in the posterior capsule. The creation of posterior capsulorhexis using 25G forceps under an implanted intraocular lens while continuously filling the anterior chamber with irrigation fluid from an irrigation cannula, without the use of a viscoelastic material is, in our opinion, a safe, fast and cheap technique of PPCCC. This technique could theoretically lead to a lower incidence of postoperative complications such as higher postoperative intraocular pressure or anterior segment inflammatory response.Keywords: primary posterior continuous curvilinear capsulorhexis, secondary cataract, hydroimplantation
