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Pediatric Ophthalmology

Enhanced Visualization of Capsulorhexis With Indocyanine Green Staining in Pediatric White Cataracts

Suqin Guo, MD · Anthony Caputo, MD · Rudolph Wagner, MD · Patrick DeRespinis, MD

Click on each slide to view a larger image.

Slide 1 Slide 1. A large air bubble is injected into the anterior chamber using a 30-gauge cannula.
Slide 2 Slide 2. Indocyanine green solution is spread onto the anterior lens capsule and under the air bubble via a 30-gauge cannula.
Slide 3 Slide 3. A clear corneal incision is completed using a keratome blade.
Slide 4 Slide 4. The capsulorhexis is nearly complete using a capsulorhexis forceps. Note the ease in distinguishing the stained capsule from the lens.
Slide 5 Slide 5. A perfect curvilinear and indocyanine green-staining capsulorhexis is seen, clearly demarcating the rim of the capsulorhexis and the unstained cataract.
Slide 6 Slide 6. An irrigation or aspiration procedure is performed to remove the cataract.

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