This video demonstrates capsulorhexis part in Phacoemulsification surgery. The surgeon demonstrates a controlled rhexis technique using a needle, starting with a small upward incision and maintaining flap orientation for precise circular control. Key points include maintaining the curve, keeping the flap folded for guidance, and ensuring a smooth, central capsulorhexis throughout the procedure.
Surgery Location: on-board the Orbis Flying Eye Hospital in Kigali, Rwanda
Surgeon: Dr. Samita Moolani, Moolani’s Eye Care Centre, Pune, India
Transcript
So we’ve given this patient topical anesthesia, but she’s still not lost movement.
I did the rhexis with the needle.
I like to make a a small opening and go upwards first by about two millimeters and then turn the flap, And I don’t ever let the flap unturn because wherever the flap edges are, I know if I continue in that direction, I will not go anywhere except in that direction, which is how you have that perfect central capsulorhexis.
And it also maintains the curve. So the CCC, which is the continuous curvilinear capsulorhexis, needs to continuously go around.
So always fold down the entire flap of the capsule even if it’s segmented like this.
And then wherever the flap is folded, it’s gonna guide where your rhexis is going to go.
Very nice guide mam