Hydro-rexis, hydro-phaco, and hydro-injection in intumescent cataract
a technique description
DOI:
https://doi.org/10.70313/2718.7446.v17.n02.334Keywords:
Argentine flag sign, intumescent cataract, white cataract, hydro-rexis, hydro-phaco, hydroinjectionAbstract
In 2000, Dr. Daniel Perrone introduced the term “Argentine flag sign” to describe the observation he made during the expansion of the capsular tear in a case of an intumescent white cataract, whose capsule had been previously stained with trypan blue. To avoid this complication, which is typical of these surgeries, various techniques have been described, but none have considered the possibility of performing hydr-orexis, hydro-phaco, and hydro injection. This paper describes this technique and discusses its potential advantages
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References
Perrone DM. Argentinean flag sign is the most common complication for intumescent cataracts. Ocular Surg News US Ed 2000; Dec 15, 2000. Disponible en: https://www.healio.com/news/ophthalmology/20120331/argentinean-flag-sign-is-most-common-complication-for-intumescent-cataracts
LoBue SA, Rizzuti AE, Martin CR et al. Preventing the Argentinian flag sign and managing anterior capsular tears: a review. Indian J Ophthalmol 2024; 72: 162-173.
Bianchi GR. Corneal endothelial health after phacoemulsification cataract surgery without viscoelastic substance. J Curr Ophthalmol 2021; 33: 75-81.
Blanco A, Rocha-de-Lossada C, Navarro P et al. “White-puncture”: a simple technique to prevent tearing of the anterior capsule during capsulorhexis in intumescent white cataracts. Arch Soc Esp Oftalmol (Engl Ed) 2021; 96: 97-101.
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