White cataracts are tricky, particularly when it is an intumescent white cataract where there is breakdown of lens material causing liquefied lens cortex to increase the intra-lenticular pressure. In this case, that is not likely to happen because while the center of the nucleus is now whitish in appearance, the periphery is not. And sure enough, a normal capsulorhexis can be created without much risk of capsule run-out (the Argentinian flag sign). Our guest surgeon then does a beautiful job with phaco chop. Great case with some strong teaching points and surgical pearls.
