We have often covered the topic of intumescent white cataracts and creating a stable capsulorhexis without run-out or the dreaded Argentinian flag sign. One of the best techniques is to do the double capsulorhexis technique where an initial, small capsulorhexis is created to allow safe decompression of the capsular bag and aspiration of liquefied lens cortex. This is followed by a second, larger, final capsulorhexis which is about 5 mm in diameter. In this video, our guest surgeons demonstrate this technique but also show that it is not a 100% guaranteed success. So now what do you do next after the capsular tear runs out? Please comment below.
There was still fluffy white cortex remaining in that quadrant.