We report a case of iatrogenic creation of an excessive anterior-to-posterior gradient in the setting of an open anterior capsule during capsulorhexis. This complication shows the inverse mechanism of that observed in the Argentinean flag sign. An excessive anterior-to-posterior gradient from an exuberant ophthalmic viscosurgical device fill of the anterior chamber caused radialization of the anterior capsule during creation of a continuous curvilinear capsulorhexis in a nonintumescent lens. We describe this complication as the reverse Argentinean flag sign.
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http://dx.doi.org/10.1016/j.jcrs.2017.11.012 | DOI Listing |
Indian J Ophthalmol
May 2022
Cataract and Refractive Services, The Eye Foundation, Coimbatore, Tamil Nadu, India.
Achieving a complete uniform capsulorhexis in an intumescent cataract is perhaps the most crucial and challenging step for surgeons. Star CanVac CCC is a new manual technique for creating a continuous curvilinear capsulorhexis (CCC) in intumescent total cataracts. Small centripetal tears in the shape of a star are created in the center of the anterior lens capsule by using a 26-G cystotome.
View Article and Find Full Text PDFIndian J Ophthalmol
June 2021
Cataract and Refractive Services, Advanced Eye Centre PGIMER, Chandigarh, India.
Purpose: To present a case series of intumescent white cataract cases managed by a new surgical technique to attain a single stage Continuous Curvilinear Capsulorhexis (CCC).
Methods: The series included 60 eyes of 60 patients with white cataract which underwent preoperative anterior chamber depth, lens thickness and ultrasonographic A-scan for intralenticular spikes. A partial size main port (~1.
Clin Ophthalmol
October 2019
Department of Ophthalmology, Faculty of Medicine, Sohag University, Sohag, Egypt.
Purpose: To evaluate the efficacy and safety of a closed-chamber air bubble capsulotomy technique to prevent the Argentinean flag sign (AFS) in patients with white and intumescent cataracts.
Setting: Sohag University, Faculty of Medicine, Ophthalmology Department, Sohag, Egypt.
Design: Prospective interventional noncomparative case series.
J Cataract Refract Surg
February 2018
From the Department of Ophthalmology (Bhardwaj, Bottini, Modi), New York University School of Medicine, New York, New York, USA; the Department of Ophthalmology and Vision Sciences (Ahmed), University of Toronto, Toronto, Prism Eye Institute (Ahmed), and Trillium Health Partners (Ahmed), Mississauga, Ontario, Canada.
We report a case of iatrogenic creation of an excessive anterior-to-posterior gradient in the setting of an open anterior capsule during capsulorhexis. This complication shows the inverse mechanism of that observed in the Argentinean flag sign. An excessive anterior-to-posterior gradient from an exuberant ophthalmic viscosurgical device fill of the anterior chamber caused radialization of the anterior capsule during creation of a continuous curvilinear capsulorhexis in a nonintumescent lens.
View Article and Find Full Text PDFClin Ophthalmol
November 2017
Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, CT, USA.
The Argentinean Flag Sign is a complication that occurs during capsulorhexis construction, in which the capsulorhexis extends to the periphery due to lens intumescence. Phaco capsulotomy is a technique in which the phacoemulsification tip is used to simultaneously create the initial tear in the anterior capsule and remove a portion of the intumescent lens, thereby debulking and relieving pressure from the lens and capsule, and preventing the Argentinean Flag Sign. A detailed description of the phaco capsulotomy technique is provided, including applications and potential complications.
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