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    5 pearls to manage white cataracts

    Use of capsular dye, decompression of anterior posterior intralenticular spaces most important factors

     

    Take home message: Better management of white cataracts with these pearls can help avoid complications like the Argentinian flag sign.

     

     

    Salt Lake CityWhite cataracts require special surgical strategies. One major concern with white cataracts is avoiding the “Argentinian flag sign,” said Brock Bakewell, MD, FACS.

    “Some white cataracts have liquid cortex; some do not,” explained Dr. Bakewell, adjunct associate professor, University of Utah, Salt Lake City, and clinical instructor, University of Arizona.

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    “The ones that have liquid cortex can be a problem,” he said. “You can get a tear-out of the capsulorhexis due to high intralenticular pressure; we know this as the Argentinian flag sign.”

    It is also difficult under the slit lamp to tell which white cataracts are under pressure and which are not. Intumescent white cataracts are most at risk for the Argentinian flag sign, he added. Here are Dr. Bakewell’s pearls for managing white cataracts:

     

    NEXT: 1. Apply trypan blue dye under the viscoelastic material

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