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Punchorhexis in white intumescent cataract

Poster Details

First Author: M.Rajan INDIA

Co Author(s):    S. Mohan                    

Abstract Details


To do a perfect rhexis in white intumescent cataract


Period : 6 months study period. Location : Rajan Eye Care Hospital Pvt Ltd, Chennai.


250 eyes of 250 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.


In all eyes except one eye the punchorhexis was successful.


Punchorhexis is an effective method of achieving good rhexis in white intumescent cataract there by preventing argentina flag sign.

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