{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:20:13Z","timestamp":1787840413720,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>\n                    We described a novel \u201cflow capsulorhexis\u201d technique in white and hypermature cataracts and compared it with the standard \u201cneedle decompression capsulorhexis\u201d technique. Six hundred and eight eyes of 420 patients with intumescent or non-intumescent mature white cataracts who had undergone phacoemulsification or manual small incision cataract surgery with \u201cflow capsulorhexis\u201d (Group 1) or \u201cneedle decompression capsulorhexis\u201d (Group 2) were assessed. The mean continuous curvilinear capsulorhexis (CCC) completion time was 6.6 \u00b1 3.4 seconds in Group 1 and 10.4 \u00b1 4.2 seconds in Group 2 (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). The mean number of times for an ophthalmic viscosurgical device (OVD) supplement was 0.4 \u00b1 0.2 and 1.8 \u00b1 0.8 in Group 1 and Group 2, respectively (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). CCC success rate was 95.8% in Group 1 and 87.2% in Group 2 (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.001). The new technique was observed to have better outcomes in terms of surgical time, OVD supplement times, and success rate than the standard needle decompression technique.\n                  <\/jats:p>","DOI":"10.4103\/ijo.ijo_1274_23","type":"journal-article","created":{"date-parts":[[2023,12,22]],"date-time":"2023-12-22T01:02:22Z","timestamp":1703206942000},"page":"73-75","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Flow capsulorhexis: A novel technique in white and hypermature cataracts"],"prefix":"10.4103","volume":"72","author":[{"given":"Mithun","family":"Thulasidas","sequence":"first","affiliation":[{"name":"Cataract and Glaucoma Services, Sivanandapuram, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Geetha","sequence":"additional","affiliation":[{"name":"Cataract and Medical Retina Services, Sankara Eye Hospital, Sivanandapuram, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,12,22]]},"reference":[{"key":"R1-20260508","doi-asserted-by":"crossref","first-page":"1819","DOI":"10.1016\/S0886-3350(01)01316-5","article-title":"Trypan blue as an adjunct for safe phacoemulsification in eyes with white cataract","volume":"28","author":"Jacob","year":"2002","journal-title":"J Cataract Refract Surg"},{"key":"R2-20260508","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1016\/S0886-3350(02)01449-9","article-title":"Continuous curvilinear capsulorhexis in intumescent or hypermature cataract with liquefied cortex","volume":"29","author":"Chan","year":"2003","journal-title":"J Cataract Refract Surg"},{"key":"R3-20260508","doi-asserted-by":"crossref","first-page":"1937","DOI":"10.2147\/OPTH.S138676","article-title":"Phaco capsulotomy: A technique to prevent the argentinean flag sign","volume":"11","author":"Teng","year":"2017","journal-title":"Clin Ophthalmol"},{"key":"R4-20260508","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1016\/S0886-3350(99)00123-6","article-title":"Capsulorhexis in intumescent cataract","volume":"25","author":"Bhattacharjee","year":"1999","journal-title":"J Cataract Refract Surg"},{"key":"R5-20260508","doi-asserted-by":"crossref","first-page":"1436","DOI":"10.4103\/ijo.IJO_352_17","article-title":"Lens decompression technique for prevention of intraoperative complications during phacoemulsification of intumescent cataract","volume":"65","author":"Nabil","year":"2017","journal-title":"Indian J Ophthalmol"},{"key":"R6-20260508","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1016\/S0886-3350(13)80739-0","article-title":"Two-stage capsulorhexis for endocapsular phacoemulsification","volume":"16","author":"Gimbel","year":"1990","journal-title":"J Cataract Refract Surg"},{"key":"R7-20260508","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1590\/S1807-59322009000400007","article-title":"Mini-rhexis for white intumescent cataracts","volume":"64","author":"Kara-Junior","year":"2009","journal-title":"Clinics (Sao Paulo)"},{"key":"R8-20260508","doi-asserted-by":"crossref","first-page":"1809","DOI":"10.4103\/ijo.IJO_2712_21","article-title":"Star CanVac-continuous curvilinear capsulorhexis- A novel, safe rhexis technique in intumescent total cataracts","volume":"70","author":"Kodavoor","year":"2022","journal-title":"Indian J Ophthalmol"},{"key":"R9-20260508","doi-asserted-by":"crossref","first-page":"4043","DOI":"10.4103\/ijo.IJO_1631_22","article-title":"Vacuum rhexis - A novel capsulorhexis technique for white cataracts","volume":"70","author":"Mahajan","year":"2022","journal-title":"Indian J Ophthalmol"},{"key":"R10-20260508","doi-asserted-by":"crossref","first-page":"e24","DOI":"10.1097\/j.jcrs.0000000000000531","article-title":"Sewing needle microcapsulotomy to avert Argentinian flag sign","volume":"47","author":"Prasad","year":"2021","journal-title":"J Cataract Refract Surg"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_1274_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:22:18Z","timestamp":1787836938000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_1274_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,22]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_1274_23","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,22]]},"assertion":[{"value":"2023-05-16","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-04","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}