Shiley Eye Institute, Viterbi Family Department of Ophthalmology, University of California, San Diego, La Jolla, California, USA.
Department of Ophthalmology, Soonchunhyang University College of Medicine, Soonchunhyang University Seoul Hospital, Seoul, Republic of Korea.
Curr Opin Ophthalmol. 2022 Jan 1;33(1):47-52. doi: 10.1097/ICU.0000000000000820.
Successful anterior capsulotomy is an important step in cataract surgery. This article reviews the various anterior capsulotomy techniques available to surgeons to optimize the step, including those that have become available since the introduction of femtosecond-laser-assisted cataract surgery (FLACS). Studies comparing the relative advantages of each technique will be emphasized.
Manual continuous curvilinear capsulorhexis (CCC) and FLACS remain the two most widely studied techniques for achieving anterior capsulotomy. Each technique has been shown to be effective for a wide range of patients and cataract surgery complications. Meta-analyses have shown that FLACS provides similar results to manual CCC for long-term cataract surgery outcomes. Several alternative methods for anterior capsulotomy have been described, which aim to provide some of the advantages of laser capsulotomy at a lower cost; among these, precision pulse capsulotomy (PPC) and selective laser capsulotomy (SLC) have been investigated the most in the literature so far.
Cataract surgeons have an increasing number of techniques for anterior capsulotomy available. Manual CCC and FLACS remain the most widely used, and most well studied. The latest techniques, PPC and SLC, have shown promise in the few studies performed since they were introduced.
成功的前囊切开术是白内障手术的重要步骤。本文综述了外科医生可用于优化该步骤的各种前囊切开技术，包括自飞秒激光辅助白内障手术（FLACS）问世以来出现的技术。将重点强调比较每种技术相对优势的研究。
手动连续环形撕囊术（CCC）和 FLACS 仍然是用于实现前囊切开的两种研究最多的技术。这两种技术都已被证明对广泛的患者和白内障手术并发症有效。荟萃分析表明，FLACS 为长期白内障手术结局提供了与手动 CCC 相似的结果。已经描述了几种替代的前囊切开方法，旨在以更低的成本提供一些激光囊切开的优势；其中，迄今为止，文献中对精密脉冲囊切开术（PPC）和选择性激光囊切开术（SLC）的研究最多。
白内障外科医生可用于前囊切开的技术越来越多。手动 CCC 和 FLACS 仍然是使用最广泛和研究最多的技术。自推出以来，最新技术 PPC 和 SLC 在少数已完成的研究中显示出了前景。
