CATARACT SURGERY AND LENS IMPLANTATION: Edited by Natalie A. AfshariAdvances in capsulorhexisHu, Wen Fan; Chen, Sherleen H.Author Information Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA Correspondence to Sherleen H. Chen, MD, Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA. Tel: +1 617 573 3202; fax: +1 617 573 6922; e-mail: [email protected] Current Opinion in Ophthalmology: January 2019 - Volume 30 - Issue 1 - p 19-24 doi: 10.1097/ICU.0000000000000539 Buy Metrics Abstract Purpose of review Continuous curvilinear manual capsulorhexis is currently the standard of cataract surgery. In the past several years, new technologies have been developed to improve the consistency and safety of capsulorhexis creation. This article reviews the most recent technologies in capsulotomy formation and their advantages and disadvantages. Recent findings Guidance devices, femtosecond laser capsulotomy and precision pulse capsulotomy improve the centration, circularity and precision of anterior capsulorhexis and capsulotomy. These developments show particular promise for complex cataract surgeries, though clinical data on the refractive outcomes and complication rates of these technologies are currently limited and warrant additional investigation. Summary New technological advances in capsulorhexis help surgeons achieve a more ideal capsulotomy geometry. Whether this translates into more predictable refractive outcomes and safer surgeries remains an area of future study. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.