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Weekend Bytes - Cataract surgery in White Cataracts.


What problems can we expect while doing cataract surgery in White Cataracts?


1) Absence of red reflex: Use Trypan blue to stain the anterior capsule aiding in better capsulorhexis.


2) High intralenticular pressure: IV mannitol can be given prior to surgery.


3) Leaking of liquified cortex: Can impair visibility of the anterior capsule. Use a 26G needle for aspirating the cortex.


4) Fragile anterior capsule: tear easily and prone to radial extension.


5) Running away of rhexis: Make a CCC of 4mm as it is easier to recover if it extends.


6) Argentinian flag sign: Can occur in intumescent cataracts. Decrease the positive pressure in the eye before attempting capsulorhexis.


www.ophthalmobytes.com


Image from Rajan Eye Care Hospital #ophthalmology#ophthal#doctor#health#medical#vision#education#optometry#medicalstudent#optometrist#medicine#eye#ophtho#ophthalmologist#ophthalmo#med#medicaleducation#ophthalmologyresident#ophthalmologyresidency#apaoyo#lens#cataract#cataractsurgery#whitecataracts

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