1975: tricky capsulorhexis and phaco chop

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.

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