DR. PURVA VALVEKAR

DR. SANCHIT BHALGAT, DR. SANCHIT BHALGAT, Dr.Swati Hire, Dr. NEHA SHAH

Abstract

One of the important challenges faced in pediatric cataract surgery is performing capsulorhexis in the elastic anterior capsule of the lens, which is compounded by its fibrous nature in a complicated cataract. Also, the poor glow caused by a retinal detachment makes it difficult for a posterior segment surgeon.

We present to you a video of this novel technique in a 9 year old female with complicated cataract, retinal detachment and choroidal coloboma where we performed lens aspiration through an anterior approach followed by vitrectomy.

We used the micro RF cautery tip provided for anterior capsulotomy for the purpose and obtained a result similar to a capsulorhexis. Such an approach could revolutionize what is arguably one of the most important steps of cataract surgery and increase the ease as well as improve control over the dimensions of the rhexis. It is a comparatively inexpensive option as compared to femtosecond laser included in a modern phaco or vitrectomy setup.