Our guest surgeon does a beautiful job with this intumescent white cataract. Because the cortex has liquefied, the capsular bag can have a high intra-lenticular pressure and this can lead to a run-out of the capsulorhexis in the dreaded Argentinian flag configuration. The idea behind the double rhexis technique is to first make a small, central capsulorhexis in order to access inside the capsular bag. Then decompression and expression of lens milk can be accomplished. Finally the small opening can then be enlarged into a normal sized capsulorhexis for nucleus removal and IOL insertion. What is your favorite technique for these intumescent white cataracts? Please comment below.
Published by Uday Devgan MD
Professor Uday Devgan MD is a Los Angeles Cataract Surgeon who authors CataractCoach.com to teach the best techniques of Cataract Surgery to Eye Surgeons from around the world. View all posts by Uday Devgan MD
Double ccc. Has never failed