{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:34:14Z","timestamp":1786649654563,"version":"build-2736575974"},"reference-count":84,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:p>The Argentinian flag sign (AFS) is a feared complication during cataract extraction. Intralenticular pressures, especially excessive posterior pressure, have been identified as potential mechanisms for capsular stress and tearing associated with AFS. Capsular tension is created by positive intralenticular pressures, which cause the irido-lens diaphragm to move anteriorly once the manual capsulorhexis has been initiated. This tension can cause inadvertent tears that self-propagate to the lens equator, causing an AFS, among other intraoperative complications. Thus, this review highlights the importance of identifying intumescent cataracts as well as a combination of techniques to relieve intracapsular pressures needed to prevent AFS. However, some instances of anterior capsular tears are unavoidable. Therefore, focus will also be placed on techniques during cataract extraction used to manage anterior capsular tears, mitigating extension to the posterior capsule.<\/jats:p>","DOI":"10.4103\/ijo.ijo_1418_23","type":"journal-article","created":{"date-parts":[[2024,1,26]],"date-time":"2024-01-26T03:00:21Z","timestamp":1706238021000},"page":"162-173","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":11,"title":["Preventing the Argentinian flag sign and managing anterior capsular tears: A review"],"prefix":"10.4103","volume":"72","author":[{"given":"Stephen A","family":"LoBue","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn, NY, USA"},{"name":"Department of Ophthalmology, Willis-Knighton Medical Center, Shreveport, LA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison E","family":"Rizzuti","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Curtis R","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Willis-Knighton Medical Center, Shreveport, LA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sinan A","family":"Albear","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ekjyot S","family":"Gill","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn, NY, USA"},{"name":"Department of Ophthalmology, UCLA Stein Eye Institute, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher L","family":"Shelby","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Willis-Knighton Medical Center, Shreveport, LA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wyche T","family":"Coleman","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Willis-Knighton Medical Center, Shreveport, LA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward F","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,1,25]]},"reference":[{"key":"R1-20260428","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1016\/S0886-3350(00)00525-3","article-title":"Phacoemulsification in eyes with white cataract","volume":"26","author":"Chakrabarti","year":"2000","journal-title":"J Cataract Refract Surg"},{"key":"R2-20260428","doi-asserted-by":"crossref","first-page":"2178","DOI":"10.1016\/S0161-6420(99)90502-X","article-title":"Ultrasonographic classification and phacoemulsification of white senile cataracts","volume":"106","author":"Brazitikos","year":"1999","journal-title":"Ophthalmology"},{"key":"R3-20260428","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.1016\/S0886-3350(99)00118-2","article-title":"Phacoemulsification of white hypermature cataract","volume":"25","author":"Vajpayee","year":"1999","journal-title":"J Cataract Refract Surg"},{"key":"R4-20260428","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1016\/S0886-3350(13)80021-1","article-title":"What to do with limited view: The intumescent cataract","volume":"19","author":"Gimbel","year":"1993","journal-title":"J Cataract Refract Surg"},{"key":"R5-20260428","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1016\/j.jcrs.2018.11.009","article-title":"Role of anterior segment optical coherence tomography for safer management of mature white cataracts","volume":"45","author":"Dhami","year":"2019","journal-title":"J Cataract Refract Surg"},{"key":"R6-20260428","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1097\/j.jcrs.0000000000000086","article-title":"Real-time intraoperative dynamics of white cataract-intraoperative optical coherence tomography-guided classification and management","volume":"46","author":"Titiyal","year":"2020","journal-title":"J Cataract Refract Surg"},{"key":"R7-20260428","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1001\/jamaophthalmol.2014.84","article-title":"Challenges of ophthalmic care in the developing world","volume":"132","author":"Sommer","year":"2014","journal-title":"JAMA Ophthalmol"},{"key":"R8-20260428","doi-asserted-by":"crossref","first-page":"1531","DOI":"10.1016\/j.jcrs.2012.07.002","article-title":"Brazilian technique for prevention of the Argentinean flag sign in white cataract","volume":"38","author":"Figueiredo","year":"2012","journal-title":"J Cataract Refract Surg"},{"key":"R9-20260428","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":"R10-20260428","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":"R11-20260428","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1016\/j.jcrs.2008.10.040","article-title":"Effect of trypan blue staining on the elastic modulus of anterior lens capsules of diabetic and nondiabetic patients","volume":"35","author":"Jardeleza","year":"2009","journal-title":"J Cataract Refract Surg"},{"key":"R12-20260428","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1016\/j.jcrs.2008.03.041","article-title":"Effect of trypan blue on the elasticity of the human anterior lens capsule","volume":"34","author":"Dick","year":"2008","journal-title":"J Cataract Refract Surg"},{"key":"R13-20260428","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1016\/S0886-3350(02)01602-4","article-title":"Thinning of the anterior capsule associated with congenital aniridia","volume":"29","author":"Schneider","year":"2003","journal-title":"J Cataract Refract Surg"},{"key":"R14-20260428","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1097\/ICU.0000000000000325","article-title":"Intraoperative management of anterior capsular tear","volume":"28","author":"Moshirfar","year":"2017","journal-title":"Curr Opin Ophthalmol"},{"key":"R15-20260428","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/1471-2415-5-17","article-title":"Comparative evaluation of efficacy and safety of ophthalmic viscosurgical devices in phacoemulsification [ISRCTN34957881]","volume":"5","author":"Vajpayee","year":"2005","journal-title":"BMC Ophthalmol"},{"key":"R16-20260428","doi-asserted-by":"crossref","first-page":"e000227","DOI":"10.1136\/bmjophth-2018-000227","article-title":"Dispersive viscosurgical devices demonstrate greater efficacy in protecting corneal endothelium in vitro","volume":"4","author":"Yildirim","year":"2019","journal-title":"BMJ Open Ophthalmol"},{"key":"R17-20260428","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":"R18-20260428","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1016\/j.jcrs.2014.06.039","article-title":"Assessment of intraoperative complications in intumescent cataract surgery using 2 ophthalmic viscosurgical devices and trypan blue staining","volume":"41","author":"Hengerer","year":"2015","journal-title":"J Cataract Refract Surg"},{"key":"R19-20260428","doi-asserted-by":"crossref","first-page":"1353","DOI":"10.1016\/j.jcrs.2015.06.002","article-title":"Simple approach to prevent capsule tear-out during capsulorhexis creation in hypermature cataracts","volume":"41","author":"Robinson","year":"2015","journal-title":"J Cataract Refract Surg"},{"key":"R20-20260428","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/S0886-3350(99)80121-7","article-title":"Dispersive-cohesive viscoelastic soft shell technique","volume":"25","author":"Arshinoff","year":"1999","journal-title":"J Cataract Refract Surg"},{"key":"R21-20260428","doi-asserted-by":"crossref","first-page":"1509","DOI":"10.1016\/S0886-3350(01)01251-2","article-title":"Using BSS with viscoadaptives in the ultimate soft-shell technique","volume":"28","author":"Arshinoff","year":"2002","journal-title":"J Cataract Refract Surg"},{"key":"R22-20260428","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1016\/j.jcrs.2013.06.011","article-title":"Tri-soft shell technique","volume":"39","author":"Arshinoff","year":"2013","journal-title":"J Cataract Refract Surg"},{"key":"R23-20260428","doi-asserted-by":"crossref","first-page":"2361","DOI":"10.2147\/OPTH.S220731","article-title":"A simple, novel approach to capsulorhexis formation in the setting of a mature cataract and miotic pupil","volume":"13","author":"LoBue","year":"2019","journal-title":"Clin Ophthalmol"},{"key":"R24-20260428","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1016\/S0886-3350(98)80036-9","article-title":"Capsulorhexis in eyes with phacomorphic glaucoma","volume":"24","author":"Rao","year":"1998","journal-title":"J Cataract Refract Surg"},{"key":"R25-20260428","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":"R26-20260428","doi-asserted-by":"crossref","first-page":"1398","DOI":"10.4103\/ijo.IJO_1903_20","article-title":"Achieving successful capsulorhexis in intumescent white mature cataracts to prevent Argentinian flag sign-A new multifaceted approach to meet the challenge","volume":"69","author":"Balyan","year":"2021","journal-title":"Indian J Ophthalmol"},{"key":"R27-20260428","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/j.jcrs.2017.04.023","article-title":"Capsule milking: Modification of capsulorhexis technique for intumescent cataract","volume":"43","author":"Chee","year":"2017","journal-title":"J Cataract Refract Surg"},{"key":"R28-20260428","doi-asserted-by":"crossref","first-page":"1304","DOI":"10.4103\/ijo.IJO_51_18","article-title":"A multipronged approach to prevent Argentinian flag sign in intumescent cataracts","volume":"66","author":"Dhingra","year":"2018","journal-title":"Indian J Ophthalmol"},{"key":"R29-20260428","article-title":"White Mature Cataract Decompression [Internet]","year":"2019","journal-title":"American Academy of Ophthalmology"},{"key":"R30-20260428","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.1016\/j.jcrs.2016.06.025","article-title":"Intraoperative complications in intumescent cataract surgery using a phaco capsulotomy technique","volume":"42","author":"Gen\u00e7","year":"2016","journal-title":"J Cataract Refract Surg"},{"key":"R31-20260428","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":"R33-20260428","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.3928\/1081597X-20091117-04","article-title":"Initial clinical evaluation of an intraocular femtosecond laser in cataract surgery","volume":"25","author":"Nagy","year":"2009","journal-title":"J Refract Surg"},{"key":"R34-20260428","doi-asserted-by":"crossref","first-page":"18","DOI":"10.22336\/rjo.2017.4","article-title":"Is laser assisted capsulotomy better than standard CCC?","volume":"61","author":"Gavri\u0219","year":"2017","journal-title":"Rom J Ophthalmol"},{"key":"R35-20260428","first-page":"453","article-title":"Femtosecond laser capsulotomy versus manual capsulotomy: A meta-analysis","volume":"9","author":"Qian","year":"2016","journal-title":"Int J Ophthalmol"},{"key":"R36-20260428","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.jcrs.2013.08.046","article-title":"Complications of femtosecond laser-assisted cataract surgery","volume":"40","author":"Nagy","year":"2014","journal-title":"J Cataract Refract Surg"},{"key":"R37-20260428","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.ophtha.2012.10.026","article-title":"Surgical outcomes and safety of femtosecond laser cataract surgery: A prospective study of 1500 consecutive cases","volume":"120","author":"Roberts","year":"2013","journal-title":"Ophthalmology"},{"key":"R38-20260428","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.1016\/j.jcrs.2014.11.044","article-title":"Anterior capsule integrity after femtosecond laser-assisted cataract surgery","volume":"41","author":"Roberts","year":"2015","journal-title":"J Cataract Refract Surg"},{"key":"R39-20260428","doi-asserted-by":"crossref","first-page":"1357","DOI":"10.2147\/OPTH.S108243","article-title":"Comparative evaluation of femtosecond laser-assisted cataract surgery and conventional phacoemulsification in white cataract","volume":"10","author":"Titiyal","year":"2016","journal-title":"Clin Ophthalmol"},{"key":"R40-20260428","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1016\/j.jcrs.2018.10.037","article-title":"Lens capsule-related complications of femtosecond laser-assisted capsulotomy versus manual capsulorhexis for white cataracts","volume":"45","author":"Zhu","year":"2019","journal-title":"J Cataract Refract Surg"},{"key":"R41-20260428","doi-asserted-by":"crossref","first-page":"101764","DOI":"10.1016\/j.ajoc.2022.101764","article-title":"Argentinian flag sign during refractive laser-assisted cataract surgery \u2013 A case report","volume":"29","author":"Issa","year":"2023","journal-title":"Am J Ophthalmol Case Rep"},{"key":"R42-20260428","doi-asserted-by":"crossref","first-page":"163","DOI":"10.5301\/ejo.5001008","article-title":"Effect of mannitol on globe and orbital volumes in humans","volume":"28","author":"Weber","year":"2018","journal-title":"Eur J Ophthalmol"},{"key":"R43-20260428","first-page":"55","article-title":"The use of mannitol in intraocular surgery","volume":"14","author":"O\u2019Keeffe","year":"1983","journal-title":"Ophthalmic Surg"},{"key":"R44-20260428","first-page":"32","article-title":"Role of mannitol in cataract surgery","volume":"24","author":"Shah","year":"1978","journal-title":"J Postgrad Med"},{"key":"R45-20260428","first-page":"1392","article-title":"Dose response of intravenous mannitol on the human eye","volume":"13","author":"Quon","year":"1981","journal-title":"Ann Ophthalmol"},{"key":"R46-20260428","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1089\/jop.2000.16.591","article-title":"Intraocular pressure, anterior chamber depth and axial length following intravenous mannitol","volume":"16","author":"Mauger","year":"2000","journal-title":"J Ocul Pharmacol Ther"},{"key":"R47-20260428","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1016\/j.jcrs.2006.03.020","article-title":"Pulsed electron avalanche knife for capsulotomy in congenital and mature cataract","volume":"32","author":"Priglinger","year":"2006","journal-title":"J Cataract Refract Surg"},{"key":"R48-20260428","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1007\/s12009-001-0066-1","article-title":"The fugo blade\uf6db: The next step after capsulorhexis","volume":"33","author":"Fugo","year":"2001","journal-title":"Ann Ophthalmol"},{"key":"R49-20260428","doi-asserted-by":"crossref","first-page":"1411","DOI":"10.4103\/ijo.IJO_737_17","article-title":"Zepto precision pulse capsulotomy: A new automated and disposable capsulotomy technology","volume":"65","author":"Chang","year":"2017","journal-title":"Indian J Ophthalmol"},{"key":"R50-20260428","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/j.ophtha.2015.10.008","article-title":"Precision pulse capsulotomy: Preclinical safety and performance of a new capsulotomy technology","volume":"123","author":"Chang","year":"2016","journal-title":"Ophthalmology"},{"key":"R51-20260428","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/j.ophtha.2015.10.019","article-title":"Comparison of manual, femtosecond laser, and precision pulse capsulotomy edge tear strength in paired human cadaver eyes","volume":"123","author":"Thompson","year":"2016","journal-title":"Ophthalmology"},{"key":"R52-20260428","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1016\/j.jcrs.2017.01.023","article-title":"Precision pulse capsulotomy: Initial clinical experience in simple and challenging cataract surgery cases","volume":"43","author":"Waltz","year":"2017","journal-title":"J Cataract Refract Surg"},{"key":"R53-20260428","doi-asserted-by":"crossref","first-page":"1165","DOI":"10.4103\/ijo.IJO_1006_17","article-title":"Zepto-rhexis: A new surgical technique of capsulorhexis using precision nano-pulse technology in difficult cataract cases","volume":"66","author":"Pandey","year":"2018","journal-title":"Indian J Ophthalmol"},{"key":"R54-20260428","doi-asserted-by":"crossref","first-page":"1361","DOI":"10.2147\/OPTH.S217919","article-title":"Precision pulse capsulotomy in challenging cataract surgery cases","volume":"13","author":"Park","year":"2019","journal-title":"Clin Ophthalmol"},{"key":"R55-20260428","doi-asserted-by":"crossref","first-page":"e000255","DOI":"10.1136\/bmjophth-2018-000255","article-title":"Precision pulse capsulotomy: An automated alternative to manual capsulorhexis in paediatric cataract","volume":"4","author":"Chougule","year":"2019","journal-title":"BMJ Open Ophthalmol"},{"key":"R56-20260428","doi-asserted-by":"crossref","first-page":"1272","DOI":"10.4103\/ijo.IJO_146_18","article-title":"Precision pulse capsulotomy in phacoemulsification: Clinical experience in Indian eyes","volume":"66","author":"Kelkar","year":"2018","journal-title":"Indian J Ophthalmol"},{"key":"R57-20260428","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1016\/j.jcrs.2017.12.027","article-title":"Thermal capsulotomy: Initial clinical experience, intraoperative performance, safety, and early postoperative outcomes of precision pulse capsulotomy technology","volume":"44","author":"Hooshmand","year":"2018","journal-title":"J Cataract Refract Surg"},{"key":"R58-20260428","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1016\/j.ophtha.2017.09.018","article-title":"Ultrastructural integrity of human capsulotomies created by a thermal device","volume":"125","author":"Hooshmand","year":"2018","journal-title":"Ophthalmology"},{"key":"R59-20260428","first-page":"e72","article-title":"Re: Hooshmand et al","volume":"125","author":"Keller","year":"2018","journal-title":"Ultrastructural integrity of human capsulotomies created by a thermal device (Ophthalmology 2018;125:340-344)"},{"key":"R60-20260428","doi-asserted-by":"crossref","first-page":"1333","DOI":"10.1016\/j.jcrs.2018.07.041","article-title":"Intraoperative performance and ultrastructural integrity of human capsulotomies created by the improved precision pulse capsulotomy device","volume":"44","author":"Hooshmand","year":"2018","journal-title":"J Cataract Refract Surg"},{"key":"R61-20260428","doi-asserted-by":"crossref","first-page":"1680","DOI":"10.1016\/j.jcrs.2019.07.028","article-title":"Precision pulse capsulotomy complicated by radial tear of the anterior capsule: A proposed mechanism","volume":"45","author":"Safuri","year":"2019","journal-title":"J Cataract Refract Surg"},{"key":"R62-20260428","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"},{"key":"R63-20260428","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1016\/S0886-3350(13)80554-8","article-title":"Capsulotomy for phacoemulsification in hypermature cataracts","volume":"21","author":"Vajpayee","year":"1995","journal-title":"J Cataract Refract Surg"},{"key":"R64-20260428","first-page":"2262","article-title":"Irrigating chopper and vacuum capsulorhexis: A new technique in phacoemulsification","volume":"30","author":"Andrioli","year":"2004","journal-title":"J Cataract Refract Surg"},{"key":"R65-20260428","doi-asserted-by":"crossref","first-page":"921646","DOI":"10.1155\/2013\/921646","article-title":"Vacuum-assisted continuous circular capsulorhexis using bimanual irrigation and aspiration system of phaco machine in immature cataract","volume":"2013","author":"Oksuz","year":"2013","journal-title":"J Ophthalmol"},{"key":"R66-20260428","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/S0886-3350(13)80472-5","article-title":"Vacuum capsulorhexis","volume":"21","author":"Brierley","year":"1995","journal-title":"J Cataract Refract Surg"},{"key":"R67-20260428","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1016\/j.jcrs.2019.02.021","article-title":"Cannula-vacuum continuous curvilinear capsulorhexis: Inexpensive technique for intumescent total cataract","volume":"45","author":"Kodavoor","year":"2019","journal-title":"J Cataract Refract Surg"},{"key":"R68-20260428","doi-asserted-by":"crossref","first-page":"4043","DOI":"10.4103\/ijo.IJO_1631_22","article-title":"Vacuum rhexis \u2013 A novel capsulorhexis technique for white cataracts","volume":"70","author":"Mahajan","year":"2022","journal-title":"Indian J Ophthalmol"},{"key":"R69-20260428","doi-asserted-by":"crossref","first-page":"53","DOI":"10.11648\/j.ijovs.20200502.13","article-title":"A novel inexpensive rhexis technique-Can Vac CCC for immature and white intumescent cataract-Our experience","volume":"5","author":"Kodavoor","year":"2020","journal-title":"Int J Ophthalmol Vis Sci"},{"key":"R70-20260428","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":"R71-20260428","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/j.jcrs.2013.12.008","article-title":"Peripheral iridotomy to prevent Argentinian flag sign during capsulorhexis in the white cataract","volume":"40","author":"Gorovoy","year":"2014","journal-title":"J Cataract Refract Surg"},{"key":"R72-20260428","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":"R73-20260428","article-title":"Capsulorhexis in White Intumescent Cataracts: The Five Commandments to Follow [Internet]","author":"Megur","year":"2015"},{"key":"R74-20260428","doi-asserted-by":"crossref","first-page":"582","DOI":"10.3928\/15428877-20091030-08","article-title":"Comparison of preoperative Nd: YAG laser anterior capsulotomy versus two-stage curvilinear capsulorhexis in phacoemulsification of white intumescent cataracts","volume":"40","author":"Coelho","year":"2009","journal-title":"Ophthalmic Surg Lasers Imaging"},{"key":"R75-20260428","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1590\/S0004-27492009000100024","article-title":"Preoperative Nd: YAG laser anterior capsulotomy in white intumescent cataracts: Report of 11 cases","volume":"72","author":"Coelho","year":"2009","journal-title":"Arq Bras Oftalmol"},{"key":"R76-20260428","doi-asserted-by":"crossref","first-page":"1630","DOI":"10.1016\/S0886-3350(03)00048-8","article-title":"Preoperative neodymium: YAG anterior capsulotomy in intumescent cataract: Preventing extension of the capsular tear to the lens periphery","volume":"29","author":"Richards","year":"2003","journal-title":"J Cataract Refract Surg"},{"key":"R77-20260428","doi-asserted-by":"crossref","first-page":"2053","DOI":"10.2147\/OPTH.S229440","article-title":"Closed-chamber anterior capsulorhexis under air tamponade in white cataract","volume":"13","author":"Alsmman","year":"2019","journal-title":"Clin Ophthalmol"},{"key":"R78-20260428","first-page":"391","article-title":"Anterior lens capsule management in pediatric cataract surgery","volume":"102","author":"Wilson","year":"2004","journal-title":"Trans Am Ophthalmol Soc"},{"key":"R79-20260428","doi-asserted-by":"crossref","first-page":"1408","DOI":"10.4103\/ijo.IJO_1626_21","article-title":"Vitrector-assisted anterior capsulorhexis in adult intumescent cataract","volume":"70","author":"Bharti","year":"2022","journal-title":"Indian J Ophthalmol"},{"key":"R80-20260428","doi-asserted-by":"crossref","first-page":"2118","DOI":"10.1016\/j.spinee.2013.12.025","article-title":"Effect of the degree of reverse Trendelenburg position on intraocular pressure during prone spine surgery: A randomized controlled trial","volume":"14","author":"Carey","year":"2014","journal-title":"Spine J"},{"key":"R81-20260428","doi-asserted-by":"crossref","first-page":"1638","DOI":"10.1016\/j.jcrs.2006.05.013","article-title":"Fate of anterior capsule tears during cataract surgery","volume":"32","author":"Marques","year":"2006","journal-title":"J Cataract Refract Surg"},{"key":"R82-20260428","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.2147\/OPTH.S136532","article-title":"Flap motility as a sign of posterior capsule rupture in peripherally extended anterior capsular tears","volume":"11","author":"Om Parkash","year":"2017","journal-title":"Clin Ophthalmol"},{"key":"R83-20260428","doi-asserted-by":"crossref","first-page":"1420","DOI":"10.1016\/j.jcrs.2006.03.038","article-title":"Little capsulorhexis tear-out rescue","volume":"32","author":"Little","year":"2006","journal-title":"J Cataract Refract Surg"},{"key":"R85-20260428","article-title":"Pivot for Avoiding the Argentinian Flag Sign [Internet]","year":"2020","journal-title":"American Academy of Ophthalmology"},{"key":"R86-20260428","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1016\/j.jcrs.2014.01.003","article-title":"Hurricane cortical aspiration technique: One-step continuous circular aspiration maneuver","volume":"40","author":"Nakano","year":"2014","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_1418_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:56:35Z","timestamp":1786647395000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_1418_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,25]]},"references-count":84,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_1418_23","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,25]]},"assertion":[{"value":"2023-05-31","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-25","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}