After needle decompression of the cataract, using a spiral technique for the capsulorhexis has a distinct advantage: if there is any pressure on the capsule, the capsule tissue can immediately be brought centrally to terminate the capsulorhexis and prevent radial extension. This video features expert surgeon Dr Ashraf Armia from Egypt and he demonstrates his technique for the spiral capsulorhexis. This helps to prevent the dreaded Argentinian Flag Sign and gives the surgeon a high level of control.
Click below to learn this technique for intumescent white cataracts:
Curious what the needle size is that Ashraf uses at beginning of case. That combined with the spiralling maneuver is an awesome combo!