Tracing a Circle to make the Capsulorhexis

A very simple technique for new surgeons who are struggling with the capsulorhexis is to trace the intended path with the tips of the forceps. If the forceps tip traces a circle, then a perfect capsulorhexis will follow.

It sounds very easy, but there are some important caveats:

  • the forceps must float in the incision and avoid gaping it open because this will cause loss of the viscoelastic and then shallowing of the anterior chamber
  • the forceps must trace this circle by pivoting within the incision since this motion allows creation of accurate curves
  • the anterior capsule should be grabbed appropriately with care taken to keep the flap folded over for the most control.

Click below to learn this technique for capsulorhexis creation: