Peripheral capsulorhexis – A novel technique to prevent Argentinian flag sign in intumescent white cataracts
The most challenging step in handling an intumescent cataract is the creation of a well-sized, round, centered, continuous, and curvilinear capsulorhexis. Due to high intralenticular pressure, the capsulorhexis tear has high tendency to extend equatorially leading to development of Argentinian flag...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-07-01
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| Series: | Indian Journal of Ophthalmology |
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| Online Access: | https://journals.lww.com/10.4103/IJO.IJO_1663_24 |
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| author | Jatinder Bhalla Sadiqua Khatoon Tarun Patidar Ashis Majumdar Ridhima Sakhuja Karuna Dhepe |
| author_facet | Jatinder Bhalla Sadiqua Khatoon Tarun Patidar Ashis Majumdar Ridhima Sakhuja Karuna Dhepe |
| author_sort | Jatinder Bhalla |
| collection | DOAJ |
| description | The most challenging step in handling an intumescent cataract is the creation of a well-sized, round, centered, continuous, and curvilinear capsulorhexis. Due to high intralenticular pressure, the capsulorhexis tear has high tendency to extend equatorially leading to development of Argentinian flag sign. To overcome this, we describe a novel technique of capsulorhexis for intumescent white cataracts that does not need special instrumentation. Antero-posterior diameter of lens is more in the center due to its biconvex configuration. This leads to more intralenticular fluid accumulation and thus comparatively higher intralenticular pressure in the center. Thus, it was decided not to touch central, tense, bulging capsule, and initiate capsulorhexis in the periphery. Two perimetric flaps were created, sheared circumferentially, and joined midway resulting in a complete circular capsulorhexis. This minimized the tendency of capsulorhexis runway to the periphery and allowed one-stage creation of a well-sized capsular opening for phacoemulsification. |
| format | Article |
| id | doaj-art-c0aeddeb52ad4eeba2601f28b003af65 |
| institution | Kabale University |
| issn | 0301-4738 1998-3689 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj-art-c0aeddeb52ad4eeba2601f28b003af652025-08-20T03:31:24ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-07-017371062106510.4103/IJO.IJO_1663_24Peripheral capsulorhexis – A novel technique to prevent Argentinian flag sign in intumescent white cataractsJatinder BhallaSadiqua KhatoonTarun PatidarAshis MajumdarRidhima SakhujaKaruna DhepeThe most challenging step in handling an intumescent cataract is the creation of a well-sized, round, centered, continuous, and curvilinear capsulorhexis. Due to high intralenticular pressure, the capsulorhexis tear has high tendency to extend equatorially leading to development of Argentinian flag sign. To overcome this, we describe a novel technique of capsulorhexis for intumescent white cataracts that does not need special instrumentation. Antero-posterior diameter of lens is more in the center due to its biconvex configuration. This leads to more intralenticular fluid accumulation and thus comparatively higher intralenticular pressure in the center. Thus, it was decided not to touch central, tense, bulging capsule, and initiate capsulorhexis in the periphery. Two perimetric flaps were created, sheared circumferentially, and joined midway resulting in a complete circular capsulorhexis. This minimized the tendency of capsulorhexis runway to the periphery and allowed one-stage creation of a well-sized capsular opening for phacoemulsification.https://journals.lww.com/10.4103/IJO.IJO_1663_24argentinian flag signintumescent cataractperipheral capsulorhexis |
| spellingShingle | Jatinder Bhalla Sadiqua Khatoon Tarun Patidar Ashis Majumdar Ridhima Sakhuja Karuna Dhepe Peripheral capsulorhexis – A novel technique to prevent Argentinian flag sign in intumescent white cataracts Indian Journal of Ophthalmology argentinian flag sign intumescent cataract peripheral capsulorhexis |
| title | Peripheral capsulorhexis – A novel technique to prevent Argentinian flag sign in intumescent white cataracts |
| title_full | Peripheral capsulorhexis – A novel technique to prevent Argentinian flag sign in intumescent white cataracts |
| title_fullStr | Peripheral capsulorhexis – A novel technique to prevent Argentinian flag sign in intumescent white cataracts |
| title_full_unstemmed | Peripheral capsulorhexis – A novel technique to prevent Argentinian flag sign in intumescent white cataracts |
| title_short | Peripheral capsulorhexis – A novel technique to prevent Argentinian flag sign in intumescent white cataracts |
| title_sort | peripheral capsulorhexis a novel technique to prevent argentinian flag sign in intumescent white cataracts |
| topic | argentinian flag sign intumescent cataract peripheral capsulorhexis |
| url | https://journals.lww.com/10.4103/IJO.IJO_1663_24 |
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