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Continuous Circular Capsulorhexis

  • The most commonly performed technique to create an anterior capsule opening during cataract surgery.
  • Advantages:
    • Provides a better structural integrity of the capsular bag.
    • More resistant to peripheral extension during nucleus manipulation, cortical removal and IOL implantation compared to classic can-opener capsulorhexis.
  • In adults with disrupted zonules or after trauma in any age group, significant contraction of the capsule may occur along the edge of the tear a few months postoperatively.
  • Capsulorhexis with too small a diameter may be complicated with purse string contraction of the anterior capsule, which can be released using the Nd:YAG laser.

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