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Indian Journal of Clinical and Experimental Ophthalmology

C-Rhexis” the surgical grail in intumescent mature cataract

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Author Details: Sahil Bhandari, Manas Nath, Prasanth Gireesh

Volume : 2

Issue : 1

Online ISSN : 2395-1451

Print ISSN : 2395-1443

Article First Page : 38

Article End Page : 41


Background: Capsulorhexis in intumescent mature cataract has high chance of peripheral extension. This paper aims at describing a modified “C- rhexis technique”, with the unique mechanism of “simultaneously acting unidirectional vector forces” for virtually eliminating the risk of peripheral extension.
Methods: Retrospective analyses of patients who were diagnosed to have intumescent mature cataract and underwent surgical intervention by a single surgeon using the modified “C-rhexis technique” were included.
Results: A total of 125 eyes were included. None of the eyes experienced any capsular tag or peripheral extension of rhexis.
Conclusion: In the nutshell, the “C-rhexis” virtually eliminates the risk of peripheral extension of capsulorhexis due to its unique “simultaneously acting unidirectional vector forces”. It can be easily mastered, creates an adequate size rhexis in first attempt, does not require expensive instruments and can be advocated in both MSICS and phacoemulsification.

: C-rhexis1, Intumescent cataract2, Rhexis extension3, Uni-directional vector4