Long Term Results Of Punchorhexis In White Intumescent Cataract
Published 2026 - 44th Congress of the ESCRS
Reference: PP09.12 | Type: Free paper | DOI: 10.82333/j5kw-b109
Authors: Prof. Dr Mohan Rajan* 1 , Dr Sujatha Mohan 2
1Retina,Rajan Eye Care Hospital Pvt Ltd,Chennai,India, 2Cornea,Rajan Eye Care Hospital Pvt Ltd,Chennai,India
Purpose
To prevent argentina flag sign in white intumescent cataracts
Setting
Rajan Eye Care Hospital Pvt Ltd, Chennai
Methods
510 eyes of 510 patients with white intumescent cataract were taken up for this study. Trephine blue was used to stain the anterior capsule. The punchorhexis was done using a straight 15 degree phaco tip bevel down using 40% phaco power, 350-400mm Hg vacuum on the stellaris phaco machine. Once a punch was made the rhexis was completed either with the phaco needle itself (phaco rhexis) or with uttrata forceps.
Results
In all eyes except 2 eyes the punchorhexis was successful.
Conclusions
Punchorhexis is an effective method of achieving good rhexis in white intumescent cataract there by preventing argentina flag sign.