Tahi H, Fantes F, Hamaoui M, Parel J M
Ophthalmic Biophysics Center, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida, USA.
J Cataract Refract Surg. 1999 Jun;25(6):744-7. doi: 10.1016/s0886-3350(99)00041-3.
Cataract surgery is routinely performed using an anterior continuous curvilinear capsulorhexis (CCC). A manual surgical technique is described for performing a small (less than 1.5 mm diameter) anterior CCC. This technique's applications extend from Phaco-Ersatz, a cataract surgical technique designed to restore accommodation to pediatric cataract surgery. An experimental rabbit study was conducted to determine the feasibility of the technique. Up to 9 small peripheral anterior CCCs were made in the same lens capsule without the capsule tearing. The mean diameter of the CCCs was 1.1 mm +/- 0.3 (SD). A 30 gauge needle and Utrata capsulorhexis forceps were used to construct the CCC. This technique shows promise for the successful performance of small CCCs in Phaco-Ersatz procedures and pediatric cataract surgery.
白内障手术通常采用连续环形撕囊术（CCC）。本文描述了一种用于进行小直径（小于1.5毫米）前连续环形撕囊术的手动手术技术。该技术的应用范围从旨在恢复调节功能的白内障手术技术——超声乳化替代术，到小儿白内障手术。进行了一项实验性兔研究以确定该技术的可行性。在同一晶状体囊膜上制作多达9个小的周边前连续环形撕囊，囊膜未撕裂。连续环形撕囊的平均直径为1.1毫米±0.3（标准差）。使用30号针头和乌特拉塔撕囊镊构建连续环形撕囊。该技术在超声乳化替代手术和小儿白内障手术中成功进行小连续环形撕囊方面显示出前景。
