1755: intumescent cataract double rhexis

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.

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