A Novel Technique of Rescuing Capsulorhexis Radial Tear-out using a Cystotome

Dr.Shain, one of the ophthalmic surgeons working in Glasgow. I like to demonstrate you how to rescue Cap Axi Radio TR out, using a cysto on IC Cataract Surgery simulator. I will also show you the technique carried out in a human eye.

IC is a sophisticated simulator designed for intraocular surgical training. During simulated surgery, the surgeon manipulates realistic handheld instruments that are inserted into the artificial eye. The motion of the instruments and the orientation of the eye are picked up by highly accurate sensors and transmitted to a computer, which renders the virtual operation scenarios into the IC microscope.

In the next video clip, we would like to demonstrate a technique of rescuing capsi re's radio. Tear out using a scissor in the IC surgical simulator in our technique. First, unfold the R'S flap.

Then tilt the needle tip horizontally to avoid puncturing or cutting the flap. Gauge the needle on the flap, but avoid placing it too close to the point of tear. Gently push or pull the flap to the center of the rhexis.

Reengage the needle on the flap. When the direction of tear starts to do a U-turn, then complete the caps in a normal fashion using the cone. In this video, the tradie surgeon deliberately extends the radio tear to increase the level of difficulty.

The trainee can practice this maneuver again and again until mastery has been achieved. Unlike a pair of forceps, a csum reduces the risk of corneal wound distortion, therefore giving an excellent view of the surgical field. In addition, it also minimizes the inadvertent loss of OVD during critical moments of the capsulorhexis.

It is also useful in patients with shallow anterior chamber. A serone can be mounted onto a strange filled with ophthalmic visco surgical device so that the anterior chamber can be filled with further visco elastic material as required. Finally, a cone is cost effective as it can be easily be made with a hypo emmic needle.

In this video footage, capsularis is initiated withum and completed until the six o'clock position direction of the capsulorhexis tear is gradually drifting towards the periphery. Therefore, the surgeon stopped immediately and reinflate interior chamber with viscoelastic material. Decap axi rescue technique using the scissor is carried out here leading to successful completion of decap axis.

With sufficient practice on the simulator, a surgeon can successfully master the skill and to apply the technique in real life patients. We would like to thank Dr.Wdi for kindly allowing us to use his video footage to illustrate this wonderful surgical technique.