Irrigating cystitome enabled capsulorhexis in hypermature Morgagnian cataract and white intumescent cataract: A novel technique

Hypermature Morgagnian cataract and white intumescent cataract still present a significant challenge for the cataract surgeon. Because of the reduced visibility and increased intralenticular pressure in such cases, it is not easy to consistently achieve controlled continuous curvilinear capsulorhexis (CCC). Achieving CCC is an essential step for doing safe phacoemulsification. We describe a novel technique of doing capsulorhexis using an irrigating cystitome in hypermature cataract and white intumescent cataract. This technique allows the surgeon to wash out the liquified cortex, improving visualisation, maintain the anterior chamber and perform capsulorhexis in a single-stage approach.