{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:30:14Z","timestamp":1786649414120,"version":"build-2736575974"},"reference-count":15,"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>The present article describes a novel surgical technique of a primary mini-capsulorhexis in midperiphery to minimize surgical complications in white intumescent cataracts. Patients with white mature cataracts with a convex anterior capsule or swollen lens fibers were selected. An initial puncture was made 3\u20134 mm away from the center, in the midperipheral anterior capsule, with a conventional cystitome. A mini-capsulorhexis (2\u20132.5 mm) was created. Loose cortical matter and fluidic contents were aspirated to reduce the intralenticular pressure. Two cuts were made at the margin of the mini-capsulorhexis, and an adequately sized secondary rhexis was completed, after which phacoemulsification was done. A circular curvilinear capsulorhexis was successfully achieved in all cases, including those with a small pupil. Rhexis could be completed in a patient where an initial extension occurred due to head movement. This refined technique aims to enhance the safety and precision of capsulorhexis in intumescent cataracts, thereby reducing the risk of complications such as the Argentinian flag sign. Further exploration and validation of this approach through clinical trials are warranted to establish its efficacy and safety profile.<\/jats:p>","DOI":"10.4103\/ijo.ijo_3345_23","type":"journal-article","created":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T11:02:27Z","timestamp":1716202947000},"page":"1355-1358","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Midperipheral mini-capsulorhexis as an additional step for safe phacoemulsification in white intumescent cataracts"],"prefix":"10.4103","volume":"72","author":[{"given":"Kiranjit","family":"Singh","sequence":"first","affiliation":[{"name":"Cataract and Anterior Segment, Daljit Singh Eye Hospital, Amritsar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sukarma","family":"Singh","sequence":"additional","affiliation":[{"name":"Cataract and Anterior Segment, Daljit Singh Eye Hospital, Amritsar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujay","family":"Herekar","sequence":"additional","affiliation":[{"name":"Cataract and Anterior Segment, Daljit Singh Eye Hospital, Amritsar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harmit","family":"Kaur","sequence":"additional","affiliation":[{"name":"Cataract and Anterior Segment, Daljit Singh Eye Hospital, Amritsar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunwar K","family":"Singh","sequence":"additional","affiliation":[{"name":"Cataract and Anterior Segment, Daljit Singh Eye Hospital, Amritsar, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Jain","sequence":"additional","affiliation":[{"name":"Cornea and Anterior Segment Services, L J Eye Institute, Model Town, Ambala, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikas","family":"Mittal","sequence":"additional","affiliation":[{"name":"Cornea and Anterior Segment Services, L J Eye Institute, Model Town, Ambala, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,5,20]]},"reference":[{"key":"R1-20260427","article-title":"Argentinean flag sign is the most common complication for intumescent cataracts","author":"Perrone","year":"2000","journal-title":"Ocular Surgery News. 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Two-stage capsulorhexis for endocapsular phacoemulsification","volume":"16","author":"Howard","year":"1990","journal-title":"J Cataract Refract Surg"},{"key":"R15-20260427","first-page":"33.","article-title":"Capsulorhexis in white intumescent cataracts the five commandments to follow","volume":"1","author":"Megur","year":"2015","journal-title":"J Vis"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_3345_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:53:50Z","timestamp":1786647230000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_3345_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,20]]},"references-count":15,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_3345_23","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,20]]},"assertion":[{"value":"2023-12-26","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-21","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}