Singhal, DeepaliNarde, Harpreet KaurMaharana, Prafulla Kumar2023-08-252023-08-252023-05Singhal Deepali, Narde Harpreet Kaur, Maharana Prafulla Kumar. 30G needle aspiration - A modified technique of capsulorhexis in pediatric cataract with high intra-lenticular pressure. Indian Journal of Ophthalmology. 2023 May; 71(5): 2237-22391998-36890301-4738http://imsear.searo.who.int/handle/123456789/225057This 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.30 G needle decompressioncontinuous curvilinear capsulorhexishigh intralenticular pressurepediatric cataractJournal ArticleIndiaDepartment of Ophthalmology, Cornea Cataract and Refractive Surgery, Anil Eye Hospital, Dombivilli, Maharashtra, IndiaDepartment of Ophthalmology, AK Institute of Ophthalmology, New Delhi, IndiaDepartment of Ophthalmology, Cornea, Cataract and Refractive Surgery Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India