New cystotome for intercapsular cataract procedures.

Intercapsular cataract extraction, a variation of extracapsular cataract extraction (ECCE), has recently become popular, particularly in Europe and Asia. It is gaining popularity in the United States among both phacoemulsification and planned ECCE surgeons. The initial steps in the intercapsular capsulotomy include either a linear or curvilinear opening. To facilitate anterior capsulotomy for intercapsular surgery, we developed a disposable 27-gauge cystotome with a specially designed curved configuration. This cystotome also facilitates capsulotomies in deep-set eyes, which may be difficult when standard cystotomes are used. The new cystotome has a conventional beveled tip with a 90-degree bend and a main shaft curved at a radius of 14.5 mm. When attached to a syringe this cystotome allows the surgeon a more comfortable holding position during the capsulotomy procedure.