Vacuum-assisted continuous circular capsulorhexis using bimanual irrigation and aspiration system of phaco machine in immature cataract

Seventy-eight eye of 65 patients were enrolled in this retrospective clinical study. two-side ports are made with a 23-gauge stiletto knife. the irrigation handpiece is introduced into the anterior chamber through one side port and 27-gauge cystotome is introduced through the other one. anterior capsular flap is created with cystotome. the capsular flap is vacuumed with a 25-gauge visco elastic's cannula,which connected to the phaco machine vacuum. the continuous circular capsulorhexis (ccc) is completed with the using bimanual irrigation and aspiration system of phaco machine. vacuum-assisted ccc technique was used in 78 cases of uncomplicated immature senile cataracts. all cases were done under sub-tenon's anesthesia. a complete ccc was achieved in all cases. performing ccc with our technique is easy,safe,and cheap. it may be an alternative method to ccc by using ovd and forceps. © 2013 huseyin oksuz et al.