{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:40:09Z","timestamp":1786650009903,"version":"build-2736575974"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T00:00:00Z","timestamp":1766966400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Intumescent white cataracts are challenging because of the high risk of intraoperative complications and poor outcomes. Several techniques have been proposed to mitigate altered lenticular dynamics; however, they require surgical expertise or additional costly devices. Here, we report the safety and outcomes of a recently described bimanual decompression technique. We retrospectively reviewed consecutive cases of intumescent cataract between January 2020 and July 2023. We assessed the rates of intraoperative complications, post-op refractive outcomes, and deviations from predicted values. Fifty-nine patients (mean age, 63 years) underwent this procedure. All the patients underwent planned monofocal single-piece intraocular lens (IOL) without intraoperative complications. The preoperative visual acuity was 20\/200 or worse in all patients. Postoperatively, 92% of the patients achieved a visual acuity of 20\/60 or better. Predicted refraction accuracy within 0.5 diopters was achieved in 56% of patients, and 90% were within 1 diopters. Automated bimanual decompression is a simple, safe, and cost-effective method for managing intumescent cataracts. This method provides a practical solution to the challenges associated with capsulorhexis formation in these complex cases.<\/jats:p>","DOI":"10.4103\/ijo.ijo_1531_25","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T15:00:29Z","timestamp":1767020429000},"page":"145-148","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Bimanual decompression of intumescent cataract \u2013 Safety and refractive outcomes"],"prefix":"10.4103","volume":"74","author":[{"given":"Rajesh","family":"Deshmukh","sequence":"first","affiliation":[{"name":"Department of Cataract Surgery, Moorfields Eye Hospital, London EC1V 2PD, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander C","family":"Day","sequence":"additional","affiliation":[{"name":"Department of Cataract Surgery, Moorfields Eye Hospital, London EC1V 2PD, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohsan","family":"Malik","sequence":"additional","affiliation":[{"name":"Department of Cataract Surgery, Moorfields Eye Hospital, London EC1V 2PD, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,29]]},"reference":[{"key":"R1-20260420","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":"R2-20260420","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1016\/S0161-6420(91)32273-5","article-title":"Mechanism of radial tear formation and extension after anterior 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intumescent total cataract","volume":"45","author":"Kodavoor","year":"2019","journal-title":"J Cataract Refract Surg"},{"key":"R10-20260420","doi-asserted-by":"crossref","first-page":"118","DOI":"10.3928\/1542-8877-20050301-07","article-title":"Automated irrigation\/aspiration before phacoemulsification in eyes with white cataracts","volume":"36","author":"Chen","year":"2005","journal-title":"Ophthalmic Surg Lasers Imaging"},{"key":"R11-20260420","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1038\/sj.eye.6703049","article-title":"The cataract national dataset electronic multicentre audit of 55,567 operations: Risk stratification for posterior capsule rupture and vitreous loss","volume":"23","author":"Narendran","year":"2009","journal-title":"Eye (Lond)"},{"key":"R12-20260420","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 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