{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:39:11Z","timestamp":1786653551448,"version":"build-2736575974"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"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":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To assess the safety and reproducibility of a two-stage mid-peripheral approach for anterior capsulorhexis by the full moon capsulorhexis technique (FCT) for intumescent cataract.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective analysis of clinical and surgical records for consecutive cases of intumescent cataract in which the FCT was used by a single surgeon during the study period (24 months). Eyes with pre-existing corneal opacity, phacodonesis, pseudo-exfoliation, capsular fibrosis, glaucoma, pre-existing ocular inflammation, inadequate mydriasis (a pupil diameter less than 6 mm), history of ocular trauma, and history of previous ocular surgery were excluded. Patient demographics (age, gender, comorbidities), size of primary capsulorhexis (PCC), size of secondary capsulorhexis (SCC), type of lenticular cortical fluid egress after initial nick of anterior capsule (F), complications, and surgical time were collected. Descriptive analysis (range (R), mean, standard deviation (SD)) of data was done.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were 110 eyes of FCT in the study period: male: n = 35 (31.82%), female: n = 75 (68.18%); mean age: 51.84 years (R: 25\u201365 years); comorbidities: n = 83 (75.45%) of hypertension (37.27%, n = 41), type 2 diabetes mellitus (20.90%, n = 23), or both (17.27%, n = 19). Mean PCC was 1.61 mm (R = 1\u20133 mm; SD = 0.66). Mean SCC was 5.22 mm (R = 4\u20136 mm; SD = 0.50). F was \u2018no fluid release\u2019: n = 64 (58.18%), \u2018minimal fluid release\u2019: n = 37 (33.64%), and \u2018profuse milky fluid release\u2019: n = 9 (8.18%). There were no complications in PCC or SCC creation. The mean surgical time was 5 minutes 6 seconds (R = 3 minutes 35 seconds to 7 minutes 15 seconds).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The mid-peripheral approach for anterior capsulorhexis in intumescent cataract by the full moon capsulorhexis technique was safe and reproducible in this series of cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_2371_25","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T16:00:28Z","timestamp":1777564828000},"page":"S80-S84","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Full moon capsulorhexis, a novel technique: Assessment of surgical outcome in patients of intumescent cataract"],"prefix":"10.4103","volume":"74","author":[{"given":"Saurabh Kumar","family":"Sarma","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Vasundhara Nethralaya, Rangia, Assam, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep","family":"Bora","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Vasundhara Nethralaya, Rangia, Assam, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Batriti Shympliang","family":"Wallang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Merah-ki Eye Care, Shillong, Meghalaya, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bipul","family":"Baishya","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Vasundhara Nethralaya, Rangia, Assam, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anusaya","family":"Bhattacharyya","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, All India Institute of Medical Sciences (AIIMS), Guwahati, Assam, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wakaru","family":"Shullai","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Merah-ki Eye Care, Shillong, Meghalaya, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Himashree","family":"Bhattacharyya","sequence":"additional","affiliation":[{"name":"Department of Community and Family Medicine, AIIMS, Guwahati, Assam, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"R2-20260430","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1016\/S0014-4835(62)80013-X","article-title":"Anatomy of lens and pathology of cataracts","volume":"1","author":"Cogan","year":"1962","journal-title":"Exp Eye Res"},{"key":"R3-20260430","doi-asserted-by":"crossref","first-page":"e367","DOI":"10.1111\/j.1755-3768.2010.02102.x","article-title":"Ultrastructure of anterior lens capsule of intumescent white cataract","volume":"89","author":"Hawlina","year":"2011","journal-title":"Acta Ophthalmol"},{"key":"R4-20260430","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":"R5-20260430","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1097\/j.jcrs.0000000000000086","article-title":"Real-time intraoperative dynamics of white cataract\u2014intraoperative optical coherence tomography\u2013guided classification and management","volume":"46","author":"Titiyal","year":"2020","journal-title":"J Cataract Refract Surg"},{"key":"R6-20260430","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":"R7-20260430","doi-asserted-by":"crossref","first-page":"e00143","DOI":"10.1097\/j.jcro.0000000000000143","article-title":"Full moon capsulorhexis: A novel and safe midperipheral approach, 2-step capsulorhexis technique for intumescent cataract","volume":"13","author":"Sarma","year":"2025","journal-title":"JCRS Online Case Rep"},{"key":"R8-20260430","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/S1350-9462(03)00063-6","article-title":"Mechanical properties of the human lens capsule","volume":"22","author":"Krag","year":"2003","journal-title":"Prog Retin Eye Res"},{"key":"R9-20260430","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. 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