EyeRounds Photo Quiz #4
Compiled by Justin Risma, MD
IMAGE 2
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Q2: What kind of cataract is this?
A2: Mature cortical cataract ("white cataract").
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Q3: What surgical complication is specific to this type of cataract and why?
A3: Argentinian flag sign (a radial tear in the presence of trypan blue stain); increased intralenticular pressure.
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Q4: How might you try to avoid this complication?
A4: Cohesive viscoelastic in anterior chamber during rhexis,
Aspirate liquefied cortex with 27G needle before rhexis,
Phacorhexis (link)