1672: Where’s the milk?

Not all white cataracts are intumescent with pressurized capsular bags full of liquefied lens cortex. In some cases, like the surgery presented here, the cortex has become white and totally opaque but it has not yet become liquefied. This means that no lens milk leaks out of the capsule when the capsulorhexis is started. It also means that the risk of Argentinian flag sign (capsule run out) is minimized. There is a whole spectrum of white cataracts and you should learn to differentiate them. This is a complete cataract case, shown start to finish, which is great learning for beginning surgeons and still a lot of fun to watch for advanced surgeons.

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