Different strokes for anterior capsulorhexis in pediatric cataract скачать в хорошем качестве

Different strokes for anterior capsulorhexis in pediatric cataract

Different strokes for anterior capsulorhexis in pediatric cataract Goura Chattannavar, Adeline S Lasrado, Ramesh Kekunnaya Jasti V. Ramanamma Children’s Eye Care Centre, Child Sight Institute, L. V. Prasad Eye Institute, Hyderabad, Telangana, India Abstract Background: A successful outcome in pediatric cataract surgery is determined by an intact, curvilinear anterior capsulotomy which is dependent on the type and density of cataract, the morphology of the anterior capsule, and associated anterior segment pathologies. Purpose: This video highlights 10 different techniques which can be used for capsulorhexis in pediatric cataract. Synopsis: The choice of technique for capsulorhexis in pediatric cataract is on case basis, namely the gold standard manual capsulotomy aided by rhexis forceps (1. Standard capsulorhexis/2. Vitrector, Vitrectorhexis), with an assistance from capsular staining (3. Blue‑rhexis), or by coaxial illumination (4. Coaxial‑rhexis) or by just the sheen of capsule (5. Sheen‑rhexis). The anterior chamber can be maintained using ophthalmic visco‑elastic device (Visco‑rhexis) or by irrigation fluid (6. Hydro‑rhexis). A speed‑breaker in the routine capsulotomy is the presence of plaque which is managed by rhexis forceps (7. Plaque‑rhexis) or by a vitrector (vitrectorhexis) or a pair of micro‑scissors (8. Scissor rhexis). Above all, the technology of femto‑second‑laser‑assisted (9. Femto‑rhexis) and zepto‑pulse‑precision capsulotomy (10. Zepto‑rhexis) is also illustrated. Highlights: This video highlights the 10 different techniques of capsulorhexis in pediatric cataract surgery. Video Link:    • Different strokes for anterior capsulorhex...   Key words: Caspulotomy, capsulorhexis, pediatric cataract Correspondence to: Dr. Ramesh Kekunnaya, Director, Child Sight Institute and Centre for Technology Innovation, L. V. Prasad Eye Institute Network, L. V. Prasad Marg, Banjara Hills, Hyderabad ‑ 500 034, Telangana, India. E‑mail: [email protected] DOI: 10.4103/IJO.IJO_233_23 PMID: 37322724