Advertisement

The Primary Posterior Continuous Curvilinear Capsulorhexis

  • Sorcha Ní Dhubhghaill
  • Marie-José Tassignon
Chapter

Abstract

The lens capsule is the thickest basement membrane in the body and develops from the lens epithelial cells to encapsulate the lens fibers. The thickness of the capsule is highly variable and is thinnest at the posterior face. At 9 μ in thickness, it is significantly thinner than its anterior counterpart [1]. The capsule consists of a thin, transparent, membrane-like collagen structure, but from a functional standpoint it forms an essential barrier, separating the anterior and posterior segments. Surgeons in the early stages of their careers are reminded by their trainers to guard the capsule, as posterior capsular rupture is one of the most feared surgical complications with known increases in postoperative issues [2]. An accidental traumatic posterior capsular rupture disturbs the anterior hyaloid face, but a planned and well-controlled PPCCC is just as safe as operating with an intact capsule and retains similar diffusion properties [3, 4].

Keywords

Anterior Chamber Posterior Capsule Lens Epithelial Cell Lens Capsule Lens Fiber 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 8.1

(AVI 22387 kb)

References

  1. 1.
    Barraquer R, Michael R, Abreu R, Lamarca J, Tresserra F. Human lens capsule thickness as a function of age and location along the saggital lens perimeter. Invest Ophthalmol Vis Sci. 2006;47:2053–60.CrossRefPubMedGoogle Scholar
  2. 2.
    Vajpayee R, Sharma N, Dada T, Gupta V, Kumar A, Dada VK. Management of posterior capsule tears. Surv Ophthalmol. 2001;45:473–88.CrossRefPubMedGoogle Scholar
  3. 3.
    Leysen I, Coeckelbergh T, Gobin L, Smet H, Daniel Y, DeGroot V, Tassignon MJ. Cumulative neodymium: YAG laser rates after bag-in-the-lens and lens-in-the-bag intraocular lens implantation: comparative study. J Cataract Refract Surg. 2006;32:2085–90.CrossRefPubMedGoogle Scholar
  4. 4.
    DeGroot V, Hubert M, VanBest JA, Engelen S, Van Aelst S, Tassignon MJ. Lack of fluorophotometric evidence of aqueous-vitreous barrier disruption after posterior capsulorhexis. J Cataract Refract Surg. 2003;29:2330–8.CrossRefGoogle Scholar
  5. 5.
    Gimbel H, Neuhann T. Developments, advantages, and methods of the continuous circular capsulorhexis technique. J Cataract Refract Surg. 1990;16:31–7.CrossRefPubMedGoogle Scholar
  6. 6.
    Van Tenten Y, De Groot V, Wuyts FL, Tassignon MJ. Quantitative measurement of the PCCC area in the postoperative period. Br J Ophthalmol. 2000;84:1117–20.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Yazici AT, Bozkurt E, Kara N, Yildirim Y, Demirok A, Yilmaz OF. Long-term results of phacoemulsification combined with primary posterior curvilinear capsulorhexis in adults. Middle East Afr J Ophthalmol. 2012;19:115–9.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Tassignon MJ, De Groot V, Smets RM, Tawab B, Vervecken F. Secondary closure of posterior continuous curvilinear capsulorhexis. J Cataract Refract Surg. 1996;22:1200–9.CrossRefPubMedGoogle Scholar
  9. 9.
    Tassignon MJ, De Groot V, Vervecken F, Van Tenten Y. Secondary closure of posterior continuous curvilinear capsulorhexis in normal eyes and eyes at risk for postoperative inflammation. J Cataract Refract Surg. 1998;24:1333–8.CrossRefPubMedGoogle Scholar
  10. 10.
    Gimbel H, DeBroff BM. Posterior capsulorhexis with optic capture: maintaining a clear visual axis after pediatric cataract surgery. J Cataract Refract Surg. 1994;20:658–64.CrossRefPubMedGoogle Scholar
  11. 11.
    Gimbel H. Posterior continuous curvilinear capsulorhexis and optic capture of the intraocular lens to prevent secondary opacification in pediatric cataract surgery. J Cataract Refract Surg. 1997;23:652–6.CrossRefPubMedGoogle Scholar
  12. 12.
    Menapace R. Posterior capsulorhexis combined with optic buttonholing: an alternative to standard in-the-bag implantation of sharp-edged intraocular lenses? A critical analysis of 1000 consecutive cases. Graefes Arch Clin Exp Ophthalmol. 2008;246:787–801.CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Tassignon MJ, Gobin L, Mathysen D, Van Looveren J, De Groot V. Clinical outcomes of cataract surgery after bag-in-the-lens intraocular lens implantation following ISO standard 11979–7:2006. J Cataract Refract Surg. 2011;37:2120–9.CrossRefPubMedGoogle Scholar
  14. 14.
    Tassignon MJ, Taal M, Ni Dhubhghaill SS. On devices for creating a continuous curvilinear capsulorhexis. J Cataract Refract Surg. 2014;40:1754–5.CrossRefPubMedGoogle Scholar
  15. 15.
    Tassignon MJ, De Veuster I, Godts D, Kosec D, Van den Dooren K, Gobin L. Bag-in-the-lens intraocular lens implantation in the pediatric eye. J Cataract Refract Surg. 2007;33:611–7.CrossRefPubMedGoogle Scholar
  16. 16.
    Galand A, van Cauwenberge F, Moosavi J. Posterior capsulorhexis in adult eyes with intact and clear capsules. J Cataract Refract Surg. 1996;22:458–61.CrossRefPubMedGoogle Scholar

Copyright information

© Springer India 2017

Authors and Affiliations

  • Sorcha Ní Dhubhghaill
    • 1
  • Marie-José Tassignon
    • 1
    • 2
  1. 1.Department of OphthalmologyAntwerp University HospitalEdegemBelgium
  2. 2.Department of MedicineAntwerp UniversityWilrijkBelgium

Personalised recommendations