{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:36:24Z","timestamp":1786649784181,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:p>This surgical technique describes a modification of the continuous curvilinear capsulorhexis (CCC) to achieve an adequate-sized capsulorhexis in pediatric cataracts with high intralenticular pressure. Performing CCC in pediatric cataracts is challenging, especially when the intralenticular pressure is high. This technique involves 30 G needle decompression of the lens to reduce positive intralenticular pressure and subsequent flattening of the anterior capsule. This minimizes the chances of extension of CCC without using any special equipment. This technique was used in two eyes of two patients (age 8 and 10 years) with unilateral developmental cataracts. Both surgeries were performed by a single surgeon (PKM). In both eyes, a well-centered CCC was achieved with no extension, and a posterior chamber intraocular lens (IOL) was placed in the capsular bag. Thus, our technique of 30 G needle aspiration could be extremely useful to achieve an adequately sized CCC in pediatric cataracts with high intralenticular pressure, especially for beginner surgeons.<\/jats:p>","DOI":"10.4103\/ijo.ijo_1276_22","type":"journal-article","created":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T03:36:13Z","timestamp":1684294573000},"page":"2237-2239","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["30G needle aspiration - A modified technique of capsulorhexis in pediatric cataract with high intra-lenticular pressure"],"prefix":"10.4103","volume":"71","author":[{"given":"Deepali","family":"Singhal","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Cornea Cataract and Refractive Surgery, Anil Eye Hospital, Dombivilli, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harpreet Kaur","family":"Narde","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, AK Institute of Ophthalmology, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prafulla Kumar","family":"Maharana","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Cornea, Cataract and Refractive Surgery Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,5,17]]},"reference":[{"key":"R1-20251006","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1136\/bjo.87.3.263","article-title":"Childhood blindness in India:Apopulation based perspective","volume":"87","author":"Dandona","year":"2003","journal-title":"Br J Ophthalmol"},{"key":"R2-20251006","first-page":"391","article-title":"Anterior lens capsule management in pediatric cataract surgery","volume":"102","author":"Wilson","year":"2004","journal-title":"Trans Am OphthalmolSoc"},{"key":"R3-20251006","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1016\/S0886-3350(02)01449-9","article-title":"Continuous curvilinear capsulorhexis in intumescent or hypermature cataract with liquefied cortex","volume":"29","author":"Chan","year":"2003","journal-title":"J Cataract Refract Surg"},{"key":"R4-20251006","first-page":"1937","article-title":"Phacocapsulotomy:Atechnique to prevent the Argentinean flag sign","volume":"11","author":"Teng","year":"2017","journal-title":"ClinOphthalmolAuckl NZ"},{"key":"R5-20251006","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1016\/S0886-3350(99)00123-6","article-title":"Capsulorhexis in intumescent cataract","volume":"25","author":"Bhattacharjee","year":"1999","journal-title":"J Cataract Refract Surg"},{"key":"R6-20251006","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1590\/S1807-59322009000400007","article-title":"Mini-rhexis for white intumescent cataracts","volume":"64","author":"Kara-Junior","year":"2009","journal-title":"Clin Sao Paulo Braz"},{"key":"R7-20251006","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/j.jcrs.2017.04.023","article-title":"Capsule milking:Modification of capsulorhexis technique for intumescent cataract","volume":"43","author":"Chee","year":"2017","journal-title":"J Cataract Refract Surg"},{"key":"R8-20251006","first-page":"357","article-title":"Biomechanical characteristics of the human anterior lens capsule in relation to age","volume":"38","author":"Krag","year":"1997","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"R9-20251006","first-page":"17","article-title":"Evaluation of two different-gauge dental needles for the presence of blood following the application of local anesthesia by dental students","volume":"70","author":"Kotze","year":"2015","journal-title":"South Afr Dent J"},{"key":"R10-20251006","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/S0886-3350(03)00669-2","article-title":"Completion rate of continuous curvilinear capsulorhexis in pediatric cataract surgery using different viscoelastic materials","volume":"30","author":"Jeng","year":"2004","journal-title":"J Cataract Refract Surg"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_1276_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:58:22Z","timestamp":1786647502000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_1276_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_1276_22","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5]]},"assertion":[{"value":"2022-05-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-08","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}