Indian Journal of Clinical and Experimental Ophthalmology


The study of different sizes and shapes of CCC (Continuous Curvilinear Capsulorhexis) in mature cataracts with & without trypan blue


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Article Type : Research Article

Author Details: Nageshwar Sharma*,Rajkumar Raman

Volume : 5

Issue : 3

Online ISSN : 2395-1451

Print ISSN : 2395-1443

Article First Page : 314

Article End Page : 317


Abstract

The Capsulorhexis or Continuous Curvilinear Capsulotomy (CCC) is perhaps the most important development in the era of modern-day cataract surgery. Continuous Curvilinear Capsulorhexis is one of the vital steps of cataract surgery. Continuous Curvilinear Capsulorhexis of circular shape and about 5mm size appears to be the best type of anterior capsulotomy. It helps in long term stable in the bag placement of PCIOL with good fixation and centration with a stretch on the posterior capsule. Very little traction is placed on the supporting zonules during good CCC. The CCC doesn’t leave V shaped tear, which have a tendency to extend to the capsular equator or even into the posterior capsular under minimal mechanical stretch and thus renders the capsular bag more resistant to tearing. It has easier cortical aspiration as there is no capsular tags. This stage is best visualized in mature cataracts when stained with Trypan Blue.

Keywords: Capsulotomy, Cataract surgery, Continuous Curvilinear Capsulorhexis / Capsulotomy (CCC), Posterior chamber intra ocular Lens (PCIOL), Trypan blue dye.

Doi :-https://doi.org/10.18231/j.ijceo.2019.075