Dr.Satish Shet
Purpose- CCC in intumescent cataracts has been eluding the most experienced and novices alike . A step by step analysis of the understanding the mechanism of argentina flag sign is required
Material and methods- 25 Consecutive cases of intumescent cataract operated by a single surgeon. A soft shell technique of a cohesive and a dispersive viscoelastic was used.
Procedure-A 2.8 mm keratome/ MVR knife was used to make a main port and 2 side ports 180 degrees apart at the limbus as in a routine phacoemulsification. In a viscofilled chamber 3 keratome punctures of the capsule was carried out at the periphery ( presumptive rim of the CCC) through the 3 ports to decompress the supra nuclear compartment within the capsular bag. A sinskey hook is introduced through the 2 keratome puncture sites 180 degrees apart and the nucleus is gently mobilised and rotated to equalise the pressure within the bag. ccc is done
Results-NO rhexis runoff occurred in any case and a CCC was achieved.
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