The Posterior Capsulorhexis

  • Sorcha Ní DhubhghaillEmail author


The BIL implant is the only lens that requires a primary posterior continuous curvilinear capsulorhexis (PPCCC) for implantation. In this chapter, a standardized approach to creating a PPCCC is described in detail.


Posterior capsulorhexis Primary posterior continuous curvilinear capsulorhexis 

Supplementary material

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  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 sagittal lens perimeter. Invest Ophthalmol Vis Sci. 2006;47:2053.CrossRefGoogle 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.CrossRefGoogle Scholar
  3. 3.
    Gimbel H, Neuhann T. Developments, advantages, and methods of the continuous circular capsulorhexis technique. J Cataract Refract Surg. 1990;16:31–7.CrossRefGoogle Scholar
  4. 4.
    DeGroot V, Hubert M, VanBest JA, Engelen S, Vab 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.
    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.CrossRefGoogle Scholar
  6. 6.
    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.CrossRefGoogle Scholar
  7. 7.
    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.CrossRefGoogle Scholar
  8. 8.
    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.CrossRefGoogle Scholar
  9. 9.
    Yazici A, Bozkurt E, Kara N, Yildirim Y, Demirok A, Yilmaz OF. Long-term results of phacoemulsification combined with primary posterior curvilinear capsulorhexis in adults. Mid East Af. J Ophthalmol. 2012;19:115–9.Google Scholar
  10. 10.
    Tassignon M, DeGroot V, Smets RM, Tawab B, Vervecken F. Secondary closure of posterior continuous curvilinear capsulorhexis. J Cataract Refract Surg. 1996;22:1200–9.CrossRefGoogle Scholar
  11. 11.
    Tassignon M, DeGroot 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.CrossRefGoogle Scholar

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of OphthalmologyAntwerp University, University HospitalEdegemBelgium

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