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5 Tips To Achieve Ideal Rhexis

Dr. Rohit Rao  and Dr. Charudutt Kalamkar

Pioneered and popularized by Howard Gimbel, capsulorrhexis is probably the most challenging task to learn in cataract surgery. In other words once a good rhexis is done half the battle is won. All the post-graduates and beginners struggle to do a ideal rhexis. This small write-up shares small tips and tricks to do rhexis better.


Ideally rhexis should be continuous and curvilinear i.e Circular, Central & of Correct size (5.5-6 mm).

It can be done with the help of double bent 26 G/27 G needle or rhexis forceps.

Advantages of rhexis with 26 G/27 G needle(Cystitome):

Cons of rhexis with 26 G/27 G needle (Cystitome):

Rhexis

Advantages of rhexis with Utrata Forceps

Disadvantages of rhexis with Utrata Forceps

Prerequisites of doing rhexis

Tips to achieve ideal capsulorhexis:

TIP NO.1   PRACTICE PRACTICE PRACTICE…..

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TIP NO. 2 KEEP ANTERIOR CHAMBER DEEP

Viscoelastics

TIP NO. 3 DON’T LIMIT YOURSELF TO ONE TECHNIQUE

TIP NO. 4 PROPER VISUALIZATION

TIP NO. 5 ALWAYS KEEP THE FLAP FLAT OVER THE ANTERIOR CAPSULE.

flap

Secret to a Perfect Rhexis


Rohit RaoDr Rohit Rao, completed MBBS from JNMC Wardha Maharashtra in the year 2010. Done MS ophthalmology from JSS MEDICAL COLLEGE Mysore Karnataka in 2015. Underwent long-term fellowship in IOL and Anterior segment under the guidance of Dr Kalpana  Narendran at Aravind eye hospital Coimbatore in 2017.He underwent short term DCR fellowship from Shankara eye hospital Coimbatore under Dr Shruti Tara. Presently he is working as an Anterior Segment surgeon and oculoplasty consultant At Shri Ganesh Vinayak eye hospital, Raipur Chhattisgarh. He has quite a few National and International papers , videos and e-posters under his name. He has been very much involved in training new surgeons at Shri Ganesh Vinayak eye hospital Raipur Chhattisgarh.

Charudutt Dr. Charudutt Kalamkar did his MBBS and MS from AIIMS (N.DELHI). He is well versed in all aspects of clinical and surgical ophthalmology. Apart from routine phacoemulsification surgery for cataract, he is incharge of squint and glaucoma units. He also has rich experience in oculoplasty.