Dr.APURVA NAGTODE

DR.JOSEPHINE CHRISTY, DR. MOUTTAPA FREDRICK

Abstract

Aim: To compare the two techniques of capsulorhexis of Intumescent Cataract during Phacoemulsification- Tomy and mini rhexis.

Methods: 120 patients with intumescent cataract were randomised into two groups to receive either

a ‘Tomy’ rhexis or ‘Mini’ rhexis for capsulotomy during phacoemulsification. Each group had two sets

of surgeons: one pair with more than 10 years of experience and the other with 5 years of

experience in cataract surgery.

Results: Out of all the patients, 6 patients had Rhexis extension, 2 of which were with tomy rhexis and 4 were while performing mini rhexis (includes one Argentinian flag sign). All patients with rhexis extension had an anterior chamber depth of less than 3 mm. The average time duration for tomy/mini rhexis was 1.4/2.1 min in senior surgeons respectively and 2.4/2.7 min in junior surgeons.

Conclusion: Tomy Rhexis has lesser rates of capsular extensions and needs lesser time duration to

perform when compared to Mini rhexis in Intumescent Cataract.