{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:31:12Z","timestamp":1787070672033,"version":"build-2736575974"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","license":[{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>The most challenging step in handling an intumescent cataract is the creation of a well-sized, round, centered, continuous, and curvilinear capsulorhexis. Due to high intralenticular pressure, the capsulorhexis tear has high tendency to extend equatorially leading to development of Argentinian flag sign. To overcome this, we describe a novel technique of capsulorhexis for intumescent white cataracts that does not need special instrumentation. Antero-posterior diameter of lens is more in the center due to its biconvex configuration. This leads to more intralenticular fluid accumulation and thus comparatively higher intralenticular pressure in the center. Thus, it was decided not to touch central, tense, bulging capsule, and initiate capsulorhexis in the periphery. Two perimetric flaps were created, sheared circumferentially, and joined midway resulting in a complete circular capsulorhexis. This minimized the tendency of capsulorhexis runway to the periphery and allowed one-stage creation of a well-sized capsular opening for phacoemulsification.<\/jats:p>","DOI":"10.4103\/ijo.ijo_1663_24","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T07:00:36Z","timestamp":1751266836000},"page":"1062-1065","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Peripheral capsulorhexis \u2013 A novel technique to prevent Argentinian flag sign in intumescent white cataracts"],"prefix":"10.4103","volume":"73","author":[{"given":"Jatinder","family":"Bhalla","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Deen Dayal Upadhay Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadiqua","family":"Khatoon","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Deen Dayal Upadhay Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarun","family":"Patidar","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Deen Dayal Upadhay Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashis","family":"Majumdar","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Trenetralaya, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ridhima","family":"Sakhuja","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Deen Dayal Upadhay Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karuna","family":"Dhepe","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Deen Dayal Upadhay Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,30]]},"reference":[{"key":"R1-20260421","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":"R2-20260421","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/j.pop.2015.05.012","article-title":"Lakhani N. 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Part 1: Anterior capsule staining for capsulorhexis in advanced\/white cataract","volume":"26","author":"Pandey","year":"2000","journal-title":"J Cataract Refract Surg"},{"key":"R13-20260421","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":"R14-20260421","doi-asserted-by":"crossref","first-page":"564","DOI":"10.3928\/1081597X-20110607-01","article-title":"Comparison of intraocular lens decentration parameters after femtosecond and manual capsulotomies","volume":"27","author":"Nagy","year":"2011","journal-title":"J Refract Surg"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_1663_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:34:38Z","timestamp":1787067278000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_1663_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,30]]},"references-count":14,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_1663_24","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,30]]},"assertion":[{"value":"2024-07-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-06","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}