Intumescent white cataracts have liquefied lens cortex which creates a high intra-lenticular pressure and this causes a force on the lens capsule as you attempt the capsulorhexis. This can lead to capsule runout and the dreaded Argentinian flag sign. For most of these cases, using a needle decompression technique can really facilitate the surgery and lessen the risks of capsular radialization. This video shows an anonymous resident surgeon doing a great job with this technique. What is your approach to intumescent white cataracts?
