
We undertook this study to determine the safe limits of capsulorhexis during nucleus expression in 40 eyes of patients undergoing extracapsular cataract extraction (ECCE) with a posterior chamber intraocular lens (PCIOL) implantation and in 30 cadaver eyes. In group I (patient eyes), capsulorhexis of 4.5 to 7.5 mm was performed and the nucleus was expressed by hydrodissection. The nuclei measured 4.5 to 9.0 mm. One relaxing incision at 12 o'clock position had to be placed in 9 patients. In group II (cadaver eyes), continuous curvilinear capsulotomies of 4.0, 4.5, 5.0, 5.5, 6.0 and 6.5 mm were made in 5 eyes each. No relaxing incisions were placed. In both the groups, nuclei of all sizes could be safely delivered through intact capsulotomies measuring 5.5 mm or more. In two patient eyes, posterior capsule rupture occurred with rhexis measuring 4.5 and 5.0 mm, respectively. In the cadaver eyes, intracapsular extraction occurred in 4 eyes with rhexis measuring 5.0 mm or less. We conclude that a rhexis less than 5.5 mm is not safe for nucleus delivery during ECCE.
Adult, Aged, 80 and over, Lenses, Intraocular, Male, Lens Capsule, Crystalline, Cataract Extraction, RE1-994, Middle Aged, Sodium Chloride, Ophthalmology, Treatment Outcome, Humans, Female, Capsulorhexis - Hydrodissection - Relaxing incision - Posterior capsule rupture - Capsulorhexis stretch - Capsulorhexis dimensions., Prospective Studies, Intraoperative Complications, Therapeutic Irrigation, Aged
Adult, Aged, 80 and over, Lenses, Intraocular, Male, Lens Capsule, Crystalline, Cataract Extraction, RE1-994, Middle Aged, Sodium Chloride, Ophthalmology, Treatment Outcome, Humans, Female, Capsulorhexis - Hydrodissection - Relaxing incision - Posterior capsule rupture - Capsulorhexis stretch - Capsulorhexis dimensions., Prospective Studies, Intraoperative Complications, Therapeutic Irrigation, Aged
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 2 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Average | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |
