How to Prevent the Argentinian Flag Sign in Intumescent Cataracts

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Dr. Girish Jethwa presents a technique for preventing the Argentinian Flag sign using the phaco tip to puncture the capsule and release the milky white fluid. After pressure has been dissipated, forceps are used to complete the capulorhexis.

Posted: 7/22/2011

How to Prevent the Argentinian Flag Sign in Intumescent Cataracts

Dr. Girish Jethwa presents a technique for preventing the Argentinian Flag sign using the phaco tip to puncture the capsule and release the milky white fluid. After pressure has been dissipated, forceps are used to complete the capulorhexis.

Posted: 7/22/2011

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Comments

ahmed fekry

13 years ago

very bad idea

mostafa A aziz

14 years ago

thanks 4 the nice presentation but I can`t consider this technique as safe,the risky point is the pressure difference (intralenticular-AC) at the moment of puncturewhich may be increased by aspiration and sometimes pressure may be lowered ahead of the tip but not superiorly,many tech. I tried ,the best is to make small entry ,over pressurize AC with visco elastic ,small central puncture,aspirate as much fluid cortex by 26 canula re inject visco elastic by that time ant.capsule is excavated and you can do the main incision and do your Rx safly

George Doussis

14 years ago

The allegation that "no complications are possible" is probably an overstatement...When entering the ant.capsule do you go down with foot pedal on 3(US),and with what vacuum?

Prasert Chiaprasert

14 years ago

what is the setting of power, flow rate, and Vacuum.

DIPAK PARMAR

14 years ago

Surely femtosecond laser rhexis would be best for these cases

DIPAK PARMAR

14 years ago

Surely femtosecond laser rhexis would be best for these cases

ari weitzner

14 years ago

tried this once and the tear went right out to the zonules the moment the phaco needle buzzed the capsule. but maybe ill try it again

Vince Keszei

14 years ago

If you phaco right through the capsule with the port facing DOWN, you create a round hole that resist tearing while you decompress the capsular bag.