Vacuum-Assisted Continuous Circular Capsulorhexis Using Bimanual Irrigation and Aspiration System of Phaco Machine in Immature Cataract

Abstract EN

Seventy-eight eye of 65 patients were enrolled in this retrospective clinical study.

Two-side ports are made with a 23-gauge stiletto knife.

The irrigation handpiece is introduced into the anterior chamber through one side port and 27-gauge cystotome is introduced through the other one.

Anterior capsular flap is created with cystotome.

The capsular flap is vacuumed with a 25-gauge visco elastic’s cannula, which connected to the phaco machine vacuum.

The continuous circular capsulorhexis (CCC) is completed with the using bimanual irrigation and aspiration system of phaco machine.

Vacuum-assisted CCC technique was used in 78 cases of uncomplicated immature senile cataracts.

All cases were done under sub-Tenon’s anesthesia.

A complete CCC was achieved in all cases.

Performing CCC with our technique is easy, safe, and cheap.

It may be an alternative method to CCC by using OVD and forceps.