1655: massaging the intumescent lens

The liquefied lens cortex in an intumescent white cataract creates increased pressure within the capsular bag and this can lead to the dreaded Argentinian Flag Sign. This fluid or lens milk is between the nucleus and the capsular bag for the entire cataract. After the anterior lens milk is aspirated the nucleus should be rocked so that any posterior pockets of liquefied lens cortex can also be released. In this video our guest surgeon performs a massage of the intumescent white cataract prior to opening the capsular bag. This can help release loculated pockets of lens milk and can help to depressurize the capsular bag. Watch the video and let me know in the comments if you have tried this technique.

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