Our guest surgeon is Dr. Manbir Singh from India and he is showing us a dense white cataract case with the double rhexis technique. This is helpful for cases where there is an intumescent cataract with liquefied lens cortex that is increasing the pressure within the capsular bag. This technique involves making an initial, small capsulorhexis and then decompressing the lens material. Once that is complete, a normal 5-mm capsulorhexis can be created. This gives an added margin of safety and can help prevent the Argentinian Flag sign and related capsular issues.
click to learn about the double rhexis technique for white cataracts: