DR. AMULYA PUNATI

DR. KSHEERAJA Y, PROF. ANANTH BHANDARY

Abstract

AIM:

To compare capsulorhexis complications by conventional cystitome with irrigating cystitome in mature cataract

Introduction:

One of the key steps of successful cataract surgery is creation of a capsulorhexis.In mature cataracts,due to fragility of the anterior capsule,high intralenticular pressure,Complications like runaways,Argentinian flag sign occur

Methods:

50 patients were enrolled in this comparative study.They were allocated into 2 groups.In Group A (25),conventional cystitome, Group B (25) irrigating cystitome was used for capsulorhexis

Results: In group A, liquified cortex made rhexis difficult, 4 patients (16%) had rhexis-runaway,3(12%) patients had Argentinian Flag sign.In Group B irrigating cystitome aspirated liquified cortex and made the capsule visible to complete rhexis and had no Argentinian sign but 1 case (4%) had rhexis run away

Conclusion:

Irrigating cystitome is useful to prevent complications during capsulorrhexis compared to conventional cystitome