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A multipronged approach to prevent Argentinian flag sign in intumescent cataracts.
Indian J Ophthalmol. 2018 09; 66(9):1304-1306.IJ

Abstract

In this communication, we describe a technique for creation of a single stage, adequately sized capsulorrhexis in intumescent cataracts by depressurizing the anterior and posterior intralenticular compartments in a nonleaky anterior chamber (AC) to prevent capsulorrhexis extension and Argentina flag sign. Initially, an incomplete main-port incision is made by the partial entry of a 2.2-mm keratome. A cohesive dispersive ophthalmic viscosurgical device (OVD) is injected into AC. Standard side-port incisions are made, followed by anterior capsular staining. The fluid cortex in anterior intralenticular compartment is aspirated by puncturing anterior capsule in the center using a 30-gauge needle entered through a separate limbal stab incision. The nucleus edge is gently tipped posteriorly with the needle tip to release the fluid from posterior intralenticular compartment also and as much fluid aspirated as possible. OVD is again injected and capsulorrhexis is performed in a single stage using micro-capsulorrhexis forceps.

Authors+Show Affiliations

Department of Ophthalmology, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.Department of Ophthalmology, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.Department of Ophthalmology, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.Department of Ophthalmology, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.Department of Ophthalmology, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.Department of Ophthalmology, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Pub Type(s)

Journal Article
Technical Report
Video-Audio Media

Language

eng

PubMed ID

30127146

Citation

Dhingra, Deepika, et al. "A Multipronged Approach to Prevent Argentinian Flag Sign in Intumescent Cataracts." Indian Journal of Ophthalmology, vol. 66, no. 9, 2018, pp. 1304-1306.
Dhingra D, Balyan M, Malhotra C, et al. A multipronged approach to prevent Argentinian flag sign in intumescent cataracts. Indian J Ophthalmol. 2018;66(9):1304-1306.
Dhingra, D., Balyan, M., Malhotra, C., Rohilla, V., Jakhar, V., & Jain, A. K. (2018). A multipronged approach to prevent Argentinian flag sign in intumescent cataracts. Indian Journal of Ophthalmology, 66(9), 1304-1306. https://doi.org/10.4103/ijo.IJO_51_18
Dhingra D, et al. A Multipronged Approach to Prevent Argentinian Flag Sign in Intumescent Cataracts. Indian J Ophthalmol. 2018;66(9):1304-1306. PubMed PMID: 30127146.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A multipronged approach to prevent Argentinian flag sign in intumescent cataracts. AU - Dhingra,Deepika, AU - Balyan,Monika, AU - Malhotra,Chintan, AU - Rohilla,Vikash, AU - Jakhar,Vaneet, AU - Jain,Arun Kumar, PY - 2018/8/22/entrez PY - 2018/8/22/pubmed PY - 2018/9/6/medline KW - 30-gauge needle KW - Argentina flag sign KW - capsulorrhexis extension KW - intralenticular pressure KW - intumescent cataract KW - white cataract SP - 1304 EP - 1306 JF - Indian journal of ophthalmology JO - Indian J Ophthalmol VL - 66 IS - 9 N2 - In this communication, we describe a technique for creation of a single stage, adequately sized capsulorrhexis in intumescent cataracts by depressurizing the anterior and posterior intralenticular compartments in a nonleaky anterior chamber (AC) to prevent capsulorrhexis extension and Argentina flag sign. Initially, an incomplete main-port incision is made by the partial entry of a 2.2-mm keratome. A cohesive dispersive ophthalmic viscosurgical device (OVD) is injected into AC. Standard side-port incisions are made, followed by anterior capsular staining. The fluid cortex in anterior intralenticular compartment is aspirated by puncturing anterior capsule in the center using a 30-gauge needle entered through a separate limbal stab incision. The nucleus edge is gently tipped posteriorly with the needle tip to release the fluid from posterior intralenticular compartment also and as much fluid aspirated as possible. OVD is again injected and capsulorrhexis is performed in a single stage using micro-capsulorrhexis forceps. SN - 1998-3689 UR - https://www.unboundmedicine.com/medline/citation/30127146/A_multipronged_approach_to_prevent_Argentinian_flag_sign_in_intumescent_cataracts_ L2 - http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=9;spage=1304;epage=1306;aulast=Dhingra DB - PRIME DP - Unbound Medicine ER -