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Posterior argentinean flag-like sign during primary posterior continuous curvilinear capsulorhexis.
Arq Bras Oftalmol. 2017 Jun; 80(3):199-201.AB

Abstract

We describe a unique complication during primary posterior continuous curvilinear capsulorhexis (PCCC) in a patient with megalocornea scheduled for phacoemulsification with toric multifocal intraocular lens (IOL) implantation. After nucleus emulsification and cortex removal, the capsular bag was filled with cohesive viscoelastic in preparation for PCCC to achieve reverse optic capture of the IOL, thus ensuring stability. However, as soon as the initial puncture was made using a 27-gauge needle to start the capsulotomy, the posterior capsule opening extended peripherally from 0º-180º. This capsule extension was similar to the Argentinean-flag sign in hypermature cataracts, and both are caused by excessive intracapsular pressure. Careful bimanual manipulation was performed to implant the IOL on the desired axis, which occurred uneventfully. At a postoperative visit, the patient exhibited excellent uncorrected visual acuity with a well-aligned IOL.

Authors+Show Affiliations

Department of Ophthalmology and Visual Sciences, Universidade Federal de São Paulo, São Paulo, SP, Brazil.Department of Ophthalmology and Visual Sciences, Universidade Federal de São Paulo, São Paulo, SP, Brazil.Department of Ophthalmology and Visual Sciences, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

28832744

Citation

Marques, Frederico França, et al. "Posterior Argentinean Flag-like Sign During Primary Posterior Continuous Curvilinear Capsulorhexis." Arquivos Brasileiros De Oftalmologia, vol. 80, no. 3, 2017, pp. 199-201.
Marques FF, Marques DMV, Matsumoto FK. Posterior argentinean flag-like sign during primary posterior continuous curvilinear capsulorhexis. Arq Bras Oftalmol. 2017;80(3):199-201.
Marques, F. F., Marques, D. M. V., & Matsumoto, F. K. (2017). Posterior argentinean flag-like sign during primary posterior continuous curvilinear capsulorhexis. Arquivos Brasileiros De Oftalmologia, 80(3), 199-201. https://doi.org/10.5935/0004-2749.20170049
Marques FF, Marques DMV, Matsumoto FK. Posterior Argentinean Flag-like Sign During Primary Posterior Continuous Curvilinear Capsulorhexis. Arq Bras Oftalmol. 2017;80(3):199-201. PubMed PMID: 28832744.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Posterior argentinean flag-like sign during primary posterior continuous curvilinear capsulorhexis. AU - Marques,Frederico França, AU - Marques,Daniela Mieira Villano, AU - Matsumoto,Fabio Kenji, PY - 2016/11/21/received PY - 2017/02/22/accepted PY - 2017/8/24/entrez PY - 2017/8/24/pubmed PY - 2017/9/26/medline SP - 199 EP - 201 JF - Arquivos brasileiros de oftalmologia JO - Arq Bras Oftalmol VL - 80 IS - 3 N2 - We describe a unique complication during primary posterior continuous curvilinear capsulorhexis (PCCC) in a patient with megalocornea scheduled for phacoemulsification with toric multifocal intraocular lens (IOL) implantation. After nucleus emulsification and cortex removal, the capsular bag was filled with cohesive viscoelastic in preparation for PCCC to achieve reverse optic capture of the IOL, thus ensuring stability. However, as soon as the initial puncture was made using a 27-gauge needle to start the capsulotomy, the posterior capsule opening extended peripherally from 0º-180º. This capsule extension was similar to the Argentinean-flag sign in hypermature cataracts, and both are caused by excessive intracapsular pressure. Careful bimanual manipulation was performed to implant the IOL on the desired axis, which occurred uneventfully. At a postoperative visit, the patient exhibited excellent uncorrected visual acuity with a well-aligned IOL. SN - 1678-2925 UR - https://www.unboundmedicine.com/medline/citation/28832744/Posterior_argentinean_flag_like_sign_during_primary_posterior_continuous_curvilinear_capsulorhexis_ L2 - http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000300199&lng=en&nrm=iso&tlng=en DB - PRIME DP - Unbound Medicine ER -