{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:37:15Z","timestamp":1787841435971,"version":"build-2784847793"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>Intumescent cataract can be a challenge even for an experienced surgeon, particularly for creating a continuous curvilinear capsulorhexis (CCC) because of increased endolenticular pressure. CCC in white intumescent cataract is associated with increased risk of extension of rhexis margin leading to radial tear or biradial extension causing \u201cArgentinian flag sign\u201d and associated complications. We describe a novel technique for CCC, in which we manipulate the vector forces acting in creating a capsulorhexis. After making a mini CCC, a flap is raised and then inverted under the rhexis margin and CCC is done by keeping the flap inverted using shearing and tearing forces, keeping the direction of force down and toward the center in a curvilinear fashion. It is a new surgical technique to perform a successful and safer CCC in intumescent cataract with consistent outcome.<\/jats:p>","DOI":"10.4103\/ijo.ijo_26_24","type":"journal-article","created":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T12:09:44Z","timestamp":1720699784000},"page":"1372-1373","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["\u201cInverted flap rhexis\u201d \u2013 Salvation of intumescence"],"prefix":"10.4103","volume":"72","author":[{"given":"Reetesh K","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Cataract and IOL Services, Indira Gandhi Eye Hospital and Research Centre, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aarti","family":"Popat","sequence":"additional","affiliation":[{"name":"Department of Cataract and IOL Services, Indira Gandhi Eye Hospital and Research Centre, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,7,11]]},"reference":[{"key":"R1-20260427","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":"R2-20260427","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":"R3-20260427","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":"R4-20260427","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":"Genc","year":"2016","journal-title":"J Cataract Refract Surg"},{"key":"R5-20260427","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1159\/000513483","article-title":"Argentinian flag sign and its management during femtosecond laser-assisted cataract surgery in a case with intumescent cataracts","volume":"12","author":"Adams","year":"2021","journal-title":"Case Rep Ophthalmol"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_26_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:55:07Z","timestamp":1787838907000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_26_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,11]]},"references-count":5,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_26_24","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,11]]},"assertion":[{"value":"2024-01-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-17","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}