BACKGROUND: Intumescent or hypermature cataracts sometimes mean a difficult capsulorhexis. High frequency capsulotomy represents a satisfying solution for this problem. PATIENTS AND METHODS: 26 patients with intumescent cataracts undergoing cataract surgery with high frequency capsulotomy were enclosed into this study. Clinical application of this technique was examined intraoperatively and postoperatively. RESULTS: Only in 4 patients out of 26 it was not possible to achieve a circular cut by capsulotomy. Residual bridges could be cut by scissors. CONCLUSIONS: High frequency capsulotomy means a convenient alternative to capsulorhexis, while correct technique intraoperatively is extremely important for satisfying clinical results.
BACKGROUND: Intumescent or hypermature cataracts sometimes mean a difficult capsulorhexis. High frequency capsulotomy represents a satisfying solution for this problem. PATIENTS AND METHODS: 26 patients with intumescent cataracts undergoing cataract surgery with high frequency capsulotomy were enclosed into this study. Clinical application of this technique was examined intraoperatively and postoperatively. RESULTS: Only in 4 patients out of 26 it was not possible to achieve a circular cut by capsulotomy. Residual bridges could be cut by scissors. CONCLUSIONS: High frequency capsulotomy means a convenient alternative to capsulorhexis, while correct technique intraoperatively is extremely important for satisfying clinical results.