It was then nudged with a modified cystotome
needle and inserted through a scleral based 5 mm scleral tunnel.
In the capsulorhexis stage, the user applies viscoelastic material to the anterior chamber, uses a cystotome
to create a flap and makes a circular capsulorhexis using forceps.
After creating a flap in the anterior capsule using a 27-gauge cystotome
, an anterior capsulorhexis with a diameter of approximately 5 mm was made using microcoaxial forceps.
Gastrostomy (or duodenostomy) was created with the use of Giovannini cystostome (Cystotome
A capsulorhexis was created using a cystotome
needle after filling the anterior chamber with a viscoadaptive ophthalmic viscosurgical device (OVD): Opegan (Santen Pharmaceutical Co., Osaka, Japan) and/or Healon or Healon 5 (Abbott Medical Optics).
After that, a guidewire was inserted, and the fistula was dilated with an electrical needle knife (Zimmon papillotomy knife or Cystotome
; Cook Medical) to facilitate stent placement.
Open-Sky lensectomy was performed with a cystotome
, as well as hydrodissection.
The routine surgical approach for pediatric cataract is to perform anterior CCC with cystotome
needle, lens matter aspiration with I/A Simco cannula, posterior CCC with cystotome
needle and anterior vitrectomy or using pars plana approach, posterior capsule incised with 20G MVR blade and anterior vitreous removed with 20G vitrectomy system.4 This method has some disadvantages.
After the bile duct was accessed as described earlier, the biliary-enteric fistula was dilated with biliary dilator catheters (Soehendra dilation catheter 6 or 7 Fr; Cook Endoscopy) or cystotome
(10 Fr; Wilson-Cook Medical), which acted as a salvage procedure for failed catheter dilation.
Side port was made and anterior chamber was filled with viscoelastic solution and capsulorhexis was performed with cystotome
made from 26 gauge needle.
It can be performed using cystotome
, small incision capsulorhexis forceps, or utrata forceps [1-4].
In Group A, PCCC was done by using a sharp cystotome
or the barbed tip of a disposable needle to snag a small central flap in the posterior capsule.