Bimanual capsulorrhexis using Sinskey hook

Abstract

An adequately sized, intact capsulorhexis is a key to the outcome of any phacoemulsification procedure. Cystitome is widely used to create a continuous curvilinear capsulorhexis. A 'frozen' capsule (crumpled capsule) mixed with viscoelastic and cortex, however can result in loss of control while using a cystitome. The Sinskey's hook introduced through the side-port, can stabilize the globe as well as work in coordination with the cystitome to spread out the jumbled up anterior capsule allowing visualization of the tear edge in the Bimanual technique. The capsulorhexis is thereby completed comfortably obviating the need of capsulorhexis forceps or repeated injection of ophthalmic viscosurgical device.