YAG Capsulotomy Technique
March 7, 2009
I was trained to make a cruciate- like capsulotomy- starting in the center and making a radial incision vertically then horizontally using the YAG. When I started using silicone lenses, I sometimes pitted the lens. Also, one patient had a capsulotomy done elsewhere and was very angry about the floaters. So I started doing capsulotomies by aiming in the periphery and making a circular opening. At the bottom, I elected not to complete the capsulotomy but left intact about a millimeter or two. This way, I was left with a flap instead of an “operculum”, and thus I reduced greatly the amount of debris. The capsular flap always shrivels up and stays out of the visual axis (though, once it did not and I had to do a little more laser). I think this is the way to go.
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