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Cathleen M. McCabe, MD
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In this video, a 32-year-old type-1 diabetic patient presented with a reported 2-week history of decreased visual acuity bilaterally. Slit lamp examination showed bilateral intumescent cataracts with fluid clefts. A femtosecond laser was used to create the capsulotomy in the first eye resulting in the Argentinian flag sign. A Zepto device was used in the second eye and the capsulotomy was completed without extension.
Posted: 8/02/2021
Cathleen M. McCabe, MD
In this video, a 32-year-old type-1 diabetic patient presented with a reported 2-week history of decreased visual acuity bilaterally. Slit lamp examination showed bilateral intumescent cataracts with fluid clefts. A femtosecond laser was used to create the capsulotomy in the first eye resulting in the Argentinian flag sign. A Zepto device was used in the second eye and the capsulotomy was completed without extension.
Posted: 8/02/2021
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Just Now
Steve Safran
4 years ago
Thanks for showing this case Cathleen. Years ago Mike Snyder suggested to me that I should decompress these cataracts in a closed system using a 25 g needle through a small tight paracentesis (after staining and filling the AC with dispersive viscoelastic). I have used that technique since on all these white cataracts with convex anterior capsules /fluid under the capsule and have never had a tear out since. Agree that FLACs is not fool proof on these cases but not everyone has access to Zepto (or femto) and having a cheap, readily available method of dealing with these eyes that works well is very helpful.