Abstract
We performed a new surgical technique termed double circular capsulotomy and intercapsular phaco-emulsification, in which both the advantages of a circular capsulotomy and intercapsular surgery are utilized. This technique consists of three stttteps: (1) small circular capsulotomy is performed with a diameter of about 3 mm; (2) intercapsular phaco-emulsification is performed between the capsules with the tip inserted through the small capsulotomy opening; (3) a large circular capsulorhexis is performed before lens implantation. As a result, complete in-the-bag fixation can be obtained as capsular integrity is maintained. The mean rate of endothelial cell loss is only 3.9% including hard cases. This double circular capsulotomy and intercapsular phaco-emulsification technique is a very promising method for advancing small incision surgery.
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