TY - JOUR A1 - Dhingra, Deepika A1 - Balyan, Monika A1 - Malhotra, Chintan A1 - Rohilla, Vikash A1 - Jakhar, Vaneet A1 - Jain, Arun T1 - A multipronged approach to prevent Argentinian flag sign in intumescent cataracts Y1 - 2018/9/1 JF - Indian Journal of Ophthalmology JO - Indian J Ophthalmol SP - 1304 EP - 1306 VL - 66 IS - 9 UR - https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2018;volume=66;issue=9;spage=1304;epage=1306;aulast=Dhingra DO - 10.4103/ijo.IJO_51_18 N2 - In this communication, we describe a technique for creation of a single stage, adequately sized capsulorrhexis in intumescent cataracts by depressurizing the anterior and posterior intralenticular compartments in a nonleaky anterior chamber (AC) to prevent capsulorrhexis extension and Argentina flag sign. Initially, an incomplete main-port incision is made by the partial entry of a 2.2-mm keratome. A cohesive dispersive ophthalmic viscosurgical device (OVD) is injected into AC. Standard side-port incisions are made, followed by anterior capsular staining. The fluid cortex in anterior intralenticular compartment is aspirated by puncturing anterior capsule in the center using a 30-gauge needle entered through a separate limbal stab incision. The nucleus edge is gently tipped posteriorly with the needle tip to release the fluid from posterior intralenticular compartment also and as much fluid aspirated as possible. OVD is again injected and capsulorrhexis is performed in a single stage using micro-capsulorrhexis forceps. ER -