University of Iowa Health Care

Ophthalmology and Visual Sciences

EyeRounds Photo Quiz #4

Compiled by Justin Risma, MD



Image 2a


Image 2b


Q2: What kind of cataract is this?

A2: Mature cortical cataract ("white cataract").

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.

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)

See related atlas entry

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last updated: 08/03/2015
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