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2552: The capsule just split. Now what?

Close-up view of an eye during cataract surgery, showing a split anterior lens capsule and a surgical instrument, with annotations about the situation and the surgeon.

This has happened to ALL of us cataract surgeons. And if it has not yet happened to you, that just means you haven’t done enough cases yet. Despite so many different techniques of dealing with these intumescent white cataracts, a capsule split like this still can happen resulting in the dreaded Argentinian flag sign. Ok, accept reality that this just happened and now what should you do? How can you safely complete the case? Helpful comments are appreciated!

video link here

https://youtu.be/7XrLdIaub_k

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