Rescue of an extending capsulorrhexis by creating a midway tangential anterior capsular flap: a novel technique in 22 eyes

  • Mehrdad Mohammadpour
    Correspondence to Mehrdad Mohammadpour, MD, Eye Research Center, Farabi Eye Hospital, Tehran Medical University, Qazvin Square, Tehran 1336616351 Iran
    Eye Research Center, Farabi Eye Hospital, Tehran Medical University, Tehran, Iran
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      Objective: To show how an extending capsulorrhexis can be rescued by a midway tangential capsular flap in order to achieve an uneventful phacoemulsification.
      Design: Consecutive case series.
      Participants: Twenty-two eyes of 22 patients with extending capsulorrhexis treated at the Farabi Eye Hospital, Tehran.
      Methods: First, a tangential capsular opening was created on the border of the presumed continuous curvilinear capsulorrhexis just midway between the beginning of the capsulorrhexis and the edge of the extending capsulor-rhexis, to make a tangential flap of the anterior capsule. Second, the centre of this new flap was grasped and pulled centripetally until the edges of the new flap joined the edges of the extending flap to complete the capsulorrhexis.
      Results: The technique was successfully performed in all cases, leading to an uneventful phacoemulsification.
      Conclusions: Midway tangential capsular flap is a safe and effective technique to rescue an extending capsulorrhexis and leads to an uneventful phacoemulsification.


      Objet: Démontrer comment on peut sauver l’extension du capsulorrhexis par un lambeau capsulaire tangentiel à mi-chemin pour obtenir une phacoémulsification sans incident.
      Nature: Série de cas consécutifs.
      Participants: Vingt-deux patients (22 yeux) ayant une extension du capsulorrhexis traités au Farabi Eye Hospital, à Téhéran.
      Méthodes: Premièrement, une ouverture capsulaire tangentielle a été pratiquée en bordure du présumé capsulorrhexis curvilinéaire continue juste à mi-chemin entre le début et le bord de l’extension du capsulorrhexis pour créer un lambeau tangentiel de la capsule antérieure. Deuxièmement, le centre de ce nouveau lambeau est capté et tiré dans le sens centripète jusqu’à ce que la bordure du nouveau lambeau joigne le bord du lambeau de l’extension pour compleéter le capsulorrhexis.
      Résultats: La technique a réussi dans tous les cas, menant à une phacoémulsification sans incident.
      Conclusions: Le lambeau capsulaire tangentiel à mi-chemin est sécuritaire et efficace pour sauver l’extension du capsulorrhexis et obtenir une phacoémulsification sans problème.


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