Haptic Tuck for Reverse Optic Capture

Abstract

Posterior capsule tears may occur at many different stages of cataract removal. With a small posterior capsule tear, a posterior continuous curvilinear capsulorrhexis (PCCC) may be initiated by grasping one edge of the advancing tear with forceps and applying the CCC principles. 1 The tear is extended and completed into a continuous edge that encompasses the extent of the original tear and is blended from the periphery toward the center as the circle or oval is completed. The PCCC diameter is kept as small as possible to preserve the maximum integrity of the posterior capsule and, if possible, the vitreous face. PCCC helps to avoid a possible extension of the inadvertent linear or triangular tear during such maneuvers as vitrectomy or lens placement. 2 With a successful PCCC, an intraocular lens (IOL) may be implanted in the bag, and if the PCCC is of proper size and of reasonable centration, the optic may be captured posteriorly if desired.