Hippokratia 1997, 1(1):28-34
A. Avramides, G. Sakkias, . Ahtaropoulos, E. Goula, P. Traianidisis
The aim of our work is to present the complications and difficulties of continuous curvilinear capsulorhexis with cystotome in extracapsular cataract extraction. 1242 capsulorhexis with Blumenthal's cystotome have been performed at our Department during last year. Viscoelastics were always used. Complications observed included: tear disorientation, difficulties in nuclear expression and intracapsular lens extraction, zonular or posterior capsular rupture with or without vitreous loss, anterior capsule fibrosis and intraocular lens decentration. In conclusion this effective capsulotomy technique which allows the "in-the-bag" intraocular lens implantation requires a lot of experience and skill, is more difficult to be performed with a cystotome than with a forceps and can create problems during nucleus hydrodissection and hydroexpression.