Indian Journal of Ophthalmology

SYMPOSIUM
Year
: 2009  |  Volume : 57  |  Issue : 1  |  Page : 15--18

Capsulotomy and hydroprocedures for nucleus prolapse in manual small incision cataract surgery


Rengaraj Venkatesh, Kannusamy Veena, Ravilla D Ravindran 
 Aravind Eye Hospital, Pondicherry, India

Correspondence Address:
Rengaraj Venkatesh
Aravind Eye Hospital, Thavalakuppam, Pondicherry - 605 007
India

Manual small incision cataract surgery (MSICS) involves the manual removal of nucleus through a scleral tunnel. To achieve 100% success every time, one has to do a good capsulotomy and should master the technique to prolapse the nucleus into anterior chamber. During conversion from extracapsular cataract surgery to MSICS, one can perform a can-opener capsulotomy and prolapse the nucleus. However, it is safer and better to perform a capsulorrhexis and hydroprolapse the nucleus, as it makes the rest of the steps of MSICS comfortable. Use of trypan blue in white and brown cataracts makes the capsulorrhexis and prolapse simple and safe. Extra caution should be taken in cases with hypermature cataracts with weak zonules and subluxated cataracts.


How to cite this article:
Venkatesh R, Veena K, Ravindran RD. Capsulotomy and hydroprocedures for nucleus prolapse in manual small incision cataract surgery.Indian J Ophthalmol 2009;57:15-18


How to cite this URL:
Venkatesh R, Veena K, Ravindran RD. Capsulotomy and hydroprocedures for nucleus prolapse in manual small incision cataract surgery. Indian J Ophthalmol [serial online] 2009 [cited 2024 Mar 29 ];57:15-18
Available from: https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2009;volume=57;issue=1;spage=15;epage=18;aulast=Venkatesh;type=0