Table 1.

Overview of various studies highlighting complications encountered in anterior capsulotomy techniques

Type of capsulotomy	Author	Study type	Sample size	Complications encountered
Envelope	Ndiaye et al. 1999[5]	Prospective	25 eyes	Postoperative dyscoria
Envelope	Akkin et al. 1994[6]	Prospective	65 eyes	IOL tilt and decentration
Comparative evaluation of manual capsulotomies	Oner et al. 2001[7]	Prospective	95 eyes	Lens decentration more in capsulotomy types other then CCC
Manual CCC	Cekic et al. 1999[21]	Prospective	51 eyes	Altered effective lens position (ELP) in inadequate sized capsulotomies
Manual CCC	Wirtitsch et al. 2004[22]	Prospective	104 eyes	Dysphotopsias and compromised retinal images in decentered capsulotomy
Manual CCC	Hollick 1999[18]	Prospective	75 eyes	Large capsulorhexis associated with Posterior capsule wrinkling and PCO
Manual CCC	Olali et al. 2007[27]	Prospective	358 eyes	Breach rhexis in 0.56% cases
Femto scond laser	Chang et al. 2014[41]	Retrospective	170 eyes	Free-floating capsule buttons in 88.8%. Radial anterior capsule tears in 5.3%
Femto scond laser	Abell et al. 2014[43]	Prospective cohort	1626 eyes	Increased rate of anterior capsule tears
Femto second laser	Roberts et al. 2011[50]	Prospective	50 eyes	Capsular block syndrome
Plasma blade	Izak et al. 2004[52]	Experimental	4 porcine eyes	Capsulotomy lacks elastic stiffness
Precision Pulse Capsulotomy	Hooshmand et al. 2018[57]	Prospective, multicenter case series	158 eyes	Incomplete capsulotomy and radial tear.

CCC – Central circular capsulorhexis; IOL – Intra ocular lens; PCO – Posterior capsular opacification