Simple approach to prevent capsule tear-out during capsulorhexis creation in hypermature cataracts.
Capsule tear-out in hypermature cataracts (Argentinean flag sign) is a common and frustrating complication during the creation of a capsulorhexis. Completing the capsulorhexis through a small side-port incision, filling the anterior chamber with a highly viscous ophthalmic viscosurgical device such as a viscoadaptive agent, and using a 23- or 25-gauge microcapsulorhexis forceps to fill the side-port incision can reliably prevent this complication.


BACKGROUND
Neither author has a financial or proprietary interest in any material or method mentioned.
From the Department of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA.
Mark S
MS
Robinson
From the Department of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. Electronic address: randallj.olson@hsc.utah.edu.
Randall J
RJ
Olson
D019923:Capsulorhexis / Q000009:adverse effects / Q000379:methods*; D002386:Cataract / Q000473:pathology*; D005131:Eye Injuries / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D007049:Iatrogenic Disease; D007903:Lens Capsule, Crystalline / Q000293:injuries*