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Indian Journal of Ophthalmology
Article . 2025 . Peer-reviewed
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Indian Journal of Ophthalmology
Article . 2025
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Peripheral capsulorhexis – A novel technique to prevent Argentinian flag sign in intumescent white cataracts

Authors: Jatinder Bhalla; Sadiqua Khatoon; Tarun Patidar; Ashis Majumdar; Ridhima Sakhuja; Karuna Dhepe;

Peripheral capsulorhexis – A novel technique to prevent Argentinian flag sign in intumescent white cataracts

Abstract

The most challenging step in handling an intumescent cataract is the creation of a well-sized, round, centered, continuous, and curvilinear capsulorhexis. Due to high intralenticular pressure, the capsulorhexis tear has high tendency to extend equatorially leading to development of Argentinian flag sign. To overcome this, we describe a novel technique of capsulorhexis for intumescent white cataracts that does not need special instrumentation. Antero-posterior diameter of lens is more in the center due to its biconvex configuration. This leads to more intralenticular fluid accumulation and thus comparatively higher intralenticular pressure in the center. Thus, it was decided not to touch central, tense, bulging capsule, and initiate capsulorhexis in the periphery. Two perimetric flaps were created, sheared circumferentially, and joined midway resulting in a complete circular capsulorhexis. This minimized the tendency of capsulorhexis runway to the periphery and allowed one-stage creation of a well-sized capsular opening for phacoemulsification.

Keywords

argentinian flag sign, Phacoemulsification, Lens Capsule, Crystalline, Visual Acuity, peripheral capsulorhexis, RE1-994, Capsulorhexis, Cataract, Ophthalmology, Humans, Surgical Technique, intumescent cataract

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green
gold