Continuous Curvilinear Capsulorhexis – A Practical Review

Sela, Tal; Hadayer, Amir

doi:10.1080/08820538.2022.2054663

Cited by 4 publications

(4 citation statements)

References 48 publications

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“…It revealed one observer having large variations, one intermediate and the rest 5 minimal variations. 16 One interesting article concluded that surgical trainees were not very accurate in diagnosing their own surgical skill but could identify the surgical performance of their peer adequately. 17 The rubric was not being used frequently 5 to 10 years previously, even in developed countries.…”

Section: Discussionmentioning

confidence: 99%

Exploring the Assessment Tool ICO OSCAR. A Comparison of Reliability of Whole of the Operation with Its Parts

Shoaib¹,

Scopes²,

Mubarik³

et al. 2023

pak J Ophthalmol

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Purpose: To compare the reliability of Ophthalmology Surgical Competency Assessment Rubric (ICO-OSCAR: phaco) between assessment of whole of the operation and its parts. Study Design: Mixed method study design. Place and Duration of Study: Mughal Eye Hospital, Lahore from January 2020 to January 2021. Methods: Three raters assessed six anonymized phaco video operations with the help of ICO OSCAR phaco first as whole operations and then as parts of the operation. Inter rater reliability of the assessments of parts of the operation were compared with inter rater reliability of whole of the operation. Intra class coefficient (ICC) was used in SPSS – version 20. Raters also filled a survey form to detect how satisfied they were with the rubric. Raters’ feedback was taken to describe shortcomings/faults found during the use of ICO OSCAR phaco form. Results: In the quantitative part, the ICC for the combined parts of the operation (0.910) was better than the value of ICC for the whole operation (0.904). In the questionnaire part, raters were satisfied with ICO OSCAR phaco rubric as a useful tool for learning and assessment of phacoemulsification surgical skills. In the qualitative part, many deficiencies were observed by the assessors in the rubric during videos analysis with the rubric ICO OSCAR phaco. This rubric is more accurate for assessment of operations in the operation theater. Conclusion: Parts of the operations can be used instead of the whole operations for the assessment of surgical skills of phacoemulsification with the help of ICO OSCAR phaco rubric. For assessment of videos, it requires some modifications as it is more valid for the assessment of surgical skills during live surgery than in operation theater.

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Section: Discussionmentioning

confidence: 99%

Exploring the Assessment Tool ICO OSCAR. A Comparison of Reliability of Whole of the Operation with Its Parts

Shoaib¹,

Scopes²,

Mubarik³

et al. 2023

pak J Ophthalmol

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“…In modern cataract surgery techniques, phacoemulsification has become the preferred method for lens extraction ( 1 , 2 ). However, as these techniques have been widely applied, it has been increasingly recognized that there are some less common postoperative complications ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

Exploring anterion capsular contraction syndrome in cataract surgery: insights into pathogenesis, clinical course, influencing factors, and intervention approaches

Lin,

Ma,

Yang

2024

Front. Med.

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Anterior capsular contraction syndrome (ACCS) is a challenging complication that can occur following phacoemulsification cataract surgery. Characterized by capsular bag wrinkling, intraocular lens (IOL) decentration and tilt, ACCS can have negative effects on visual outcomes and patient satisfaction. This review aims to investigate the pathogenesis, clinical course, influencing factors, and intervention approaches for ACCS after cataract surgery. By understanding the underlying mechanisms and identifying factors that contribute to ACCS, surgeons can enhance their ability to predict and manage this complication. Various intervention strategies are discussed, highlighting their importance in reducing complications and improving surgical outcomes. However, further research is needed to determine optimal prevention and management strategies through long-term follow-up and comparative analyses. Advancements in this field will ultimately lead to improved visual outcomes and optimized cataract surgery for patients.

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“…[ 3 ] CCC keeps the intraocular lens (IOL) in the correct position by overlapping of anterior capsule over the optic, thereby making effective lens position (ELP) more predictable. [ 4 5 ] Reduced incidence of posterior capsular opacification (PCO), tilting, and decentration are other benefits of the technique. [ 4 5 6 ]…”

mentioning

confidence: 99%

“…[ 4 5 ] Reduced incidence of posterior capsular opacification (PCO), tilting, and decentration are other benefits of the technique. [ 4 5 6 ]…”

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confidence: 99%

Tunnel-floor entry continuous curvilinear capsulorhexis technique

Ravindra

Bali

Adarsh

et al. 2022

Indian Journal of Ophthalmology

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Continuous circular capsulorhexis (CCC) was demonstrated independently by Thomas Neuhann, Kimiya Shimizu, and Howard Gimbel in the 1980s and it finds mention in the landmark paper by Gimbel and Neuhann. The authors describe a technique of achieving the rhexis in a stable, viscoelastic-filled anterior chamber using the tunnel floor as the entry. This gets covered by the roof of the tunnel postoperatively and, therefore, does not leak. There is no oar-locking or striae even when cystitome goes beyond the edge of the tunnel. As there is no escape of the viscoelastic substance, there is no change in the pressure or shallowing of the anterior chamber. It is a useful technique for beginners. It is of great help in difficult cases like intumescent cataracts, shallow anterior chambers, hyperopes, nanophthalmos, pseudoexfoliation, small non-dilating pupils, intraoperative floppy iris syndrome (IFIS), and phacomorphic glaucoma.

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Continuous Curvilinear Capsulorhexis – A Practical Review

Cited by 4 publications

References 48 publications

Exploring the Assessment Tool ICO OSCAR. A Comparison of Reliability of Whole of the Operation with Its Parts

Exploring the Assessment Tool ICO OSCAR. A Comparison of Reliability of Whole of the Operation with Its Parts

Exploring anterion capsular contraction syndrome in cataract surgery: insights into pathogenesis, clinical course, influencing factors, and intervention approaches

Tunnel-floor entry continuous curvilinear capsulorhexis technique

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