PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 8087895

[Capsulorhexis with a manual extracapsular extraction technic-- initial experience].

J Janula
View original source ↗Export metadata ↓

Abstract

Capsulorhexis is a modern way of opening of the anterior capsule. The author describes the technique of capsulorhexis, he used on 52 eyes. When capsulorhexis is performed in ECCE, delivery of lens nucleus is more difficult. The author used either "Keyhole" modification or hydroexpression described by Thiem, Corydon with combination of reduction of the nucleus described by Nishi. He achieved very good results but does not recommend this method for the inexperienced extracapsular surgeons.

Explore related subjects

Anterior Eye SegmentCataract ExtractionHumansEnglish AbstractJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

J Janula. 1994. [Capsulorhexis with a manual extracapsular extraction technic-- initial experience].. https://pubmed.ncbi.nlm.nih.gov/8087895/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2001

Lens implant selection with absence of capsular support.

If contact lens or spectacle correction is not viable, little debate exists that the secondary placement of an intra-ocular lens (IOL) is the method of choice in the absence of capsular support. The choice of IOL mainly depends on the preoperative status of the eye (eg, aphakia in children) and the selected location for the implant. Theoretically, there are several IOL implantation approaches in cases without capsular support: an angle-supported anterior chamber (AC) IOL, an iris-fixated ACIOL, an iris-sutured or iris-fixated posterior chamber (PC) IOL and a transsclerally sutured PCIOL. No consensus exists, however, on the indications as well as on the relative safety and efficacy of these different options. Implantation of modern ACIOLs, like the refined open-loop or iris-fixated claw (toric) ACIOLs, have regained popularity and provide a valuable alternative to sutured PCIOLs. However, in the absence of capsular support, the transsclerally sutured PCIOLs offer numerous advantages for certain eyes. Because of its anatomic location, the sutured PCIOL is more appropriate for eyes with compromised cornea, peripheral anterior synechiae, shallow anterior chamber, or glaucoma. Moreover, sutured PCIOLs are appropriate if the patient with aphakia is young or has a life expectancy of 10 years or more. Recent technological advances, including PCIOL with iris diaphragm for aniridia, toric ACIOLs, and small-incision surgery with foldable, transsclerally sutured IOLs, seem to further improve clinical outcomes.

Anterior Eye Segment↗