Crossed-swords, capsule-pinch technique for capsulotomy in pediatric and/or loose lens cataract extraction

Puncturing the anterior capsule in a patient with a very soft lens, an elastic capsule, and/or deficient zonular countertraction can be challenging even with a sharp needle or blade. The crossed-swords, capsule-pinch technique capitalizes on opposing forces from 2 needles directed toward each other with a “pinch” of the capsule between their tips. This affords a controlled and facile puncture of the capsule without creating stress on the zonules or anteroposterior displacement of the lens. Financial Disclosure: Neither author has a financial or proprietary interest in any material or method mentioned.