Capsulorhexis in Intumescent Cataract With High Intralenticular Pressure: Comparison of 2 Techniques
Narrative Responses:
Purpose
Capsulorhexis in Intumescent Cataract is difficult in presence of high Intra Lenticular Pressure. This study compares two currently available techniques to find the efficacy of each technique
Methods
Fifteen cases of Intumescent cataract with high Intra Lenticular Pressure(ILP) are randomly selected to undergo capsulorhexis in one of the two techniques. In the first technique (The Ashoka Chakra) the phaco probe takes a bite at the anterior capsule and let out some offending semi solid cortex. Once these cortex are aspirated the ILP comes down and rhexis is completed with needle or forceps. In the other group ( Hydrorhexis) the rhexis is done under irrigating cannula. The semi solid cortex are aspirated from time to time by aspiration cannula after withdrawing the needle cystiotome for time being.
Results
All the rhexises were successful in Hydrorhexis technique. One failure in The Ashoka Chakra group
Conclusion
Both the techniques are very safe and effective in combating high Intra lenticular Pressure in capsulorhexis in Intumescent cataract