Posterior argentinean flag-like sign during primary posterior continuous curvilinear capsulorhexis

Detalhes bibliográficos
Autor(a) principal: Marques,Frederico França
Data de Publicação: 2017
Outros Autores: Marques,Daniela Mieira Villano, Matsumoto,Fabio Kenji
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Arquivos brasileiros de oftalmologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000300199
Resumo: ABSTRACT We describe a unique complication during primary posterior continuous curvilinear capsulorhexis (PCCC) in a patient with megalocornea scheduled for phacoemulsification with toric multifocal intraocular lens (IOL) implantation. After nucleus emulsification and cortex removal, the capsular bag was filled with cohesive viscoelastic in preparation for PCCC to achieve reverse optic capture of the IOL, thus ensuring stability. However, as soon as the initial puncture was made using a 27-gauge needle to start the capsulotomy, the posterior capsule opening extended peripherally from 0º-180º. This capsule extension was similar to the Argentinean-flag sign in hypermature cataracts, and both are caused by excessive intracapsular pressure. Careful bimanual manipulation was performed to implant the IOL on the desired axis, which occurred uneventfully. At a postoperative visit, the patient exhibited excellent uncorrected visual acuity with a well-aligned IOL.
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spelling Posterior argentinean flag-like sign during primary posterior continuous curvilinear capsulorhexisCornea/abnormalitiesCataractPhacoemulsificationCapsulorhexisHumansCase reportsABSTRACT We describe a unique complication during primary posterior continuous curvilinear capsulorhexis (PCCC) in a patient with megalocornea scheduled for phacoemulsification with toric multifocal intraocular lens (IOL) implantation. After nucleus emulsification and cortex removal, the capsular bag was filled with cohesive viscoelastic in preparation for PCCC to achieve reverse optic capture of the IOL, thus ensuring stability. However, as soon as the initial puncture was made using a 27-gauge needle to start the capsulotomy, the posterior capsule opening extended peripherally from 0º-180º. This capsule extension was similar to the Argentinean-flag sign in hypermature cataracts, and both are caused by excessive intracapsular pressure. Careful bimanual manipulation was performed to implant the IOL on the desired axis, which occurred uneventfully. At a postoperative visit, the patient exhibited excellent uncorrected visual acuity with a well-aligned IOL.Conselho Brasileiro de Oftalmologia2017-06-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000300199Arquivos Brasileiros de Oftalmologia v.80 n.3 2017reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBO10.5935/0004-2749.20170049info:eu-repo/semantics/openAccessMarques,Frederico FrançaMarques,Daniela Mieira VillanoMatsumoto,Fabio Kenjieng2017-08-14T00:00:00Zoai:scielo:S0004-27492017000300199Revistahttp://aboonline.org.br/https://old.scielo.br/oai/scielo-oai.phpaboonline@cbo.com.br||abo@cbo.com.br1678-29250004-2749opendoar:2017-08-14T00:00Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)false
dc.title.none.fl_str_mv Posterior argentinean flag-like sign during primary posterior continuous curvilinear capsulorhexis
title Posterior argentinean flag-like sign during primary posterior continuous curvilinear capsulorhexis
spellingShingle Posterior argentinean flag-like sign during primary posterior continuous curvilinear capsulorhexis
Marques,Frederico França
Cornea/abnormalities
Cataract
Phacoemulsification
Capsulorhexis
Humans
Case reports
title_short Posterior argentinean flag-like sign during primary posterior continuous curvilinear capsulorhexis
title_full Posterior argentinean flag-like sign during primary posterior continuous curvilinear capsulorhexis
title_fullStr Posterior argentinean flag-like sign during primary posterior continuous curvilinear capsulorhexis
title_full_unstemmed Posterior argentinean flag-like sign during primary posterior continuous curvilinear capsulorhexis
title_sort Posterior argentinean flag-like sign during primary posterior continuous curvilinear capsulorhexis
author Marques,Frederico França
author_facet Marques,Frederico França
Marques,Daniela Mieira Villano
Matsumoto,Fabio Kenji
author_role author
author2 Marques,Daniela Mieira Villano
Matsumoto,Fabio Kenji
author2_role author
author
dc.contributor.author.fl_str_mv Marques,Frederico França
Marques,Daniela Mieira Villano
Matsumoto,Fabio Kenji
dc.subject.por.fl_str_mv Cornea/abnormalities
Cataract
Phacoemulsification
Capsulorhexis
Humans
Case reports
topic Cornea/abnormalities
Cataract
Phacoemulsification
Capsulorhexis
Humans
Case reports
description ABSTRACT We describe a unique complication during primary posterior continuous curvilinear capsulorhexis (PCCC) in a patient with megalocornea scheduled for phacoemulsification with toric multifocal intraocular lens (IOL) implantation. After nucleus emulsification and cortex removal, the capsular bag was filled with cohesive viscoelastic in preparation for PCCC to achieve reverse optic capture of the IOL, thus ensuring stability. However, as soon as the initial puncture was made using a 27-gauge needle to start the capsulotomy, the posterior capsule opening extended peripherally from 0º-180º. This capsule extension was similar to the Argentinean-flag sign in hypermature cataracts, and both are caused by excessive intracapsular pressure. Careful bimanual manipulation was performed to implant the IOL on the desired axis, which occurred uneventfully. At a postoperative visit, the patient exhibited excellent uncorrected visual acuity with a well-aligned IOL.
publishDate 2017
dc.date.none.fl_str_mv 2017-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000300199
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000300199
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/0004-2749.20170049
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
dc.source.none.fl_str_mv Arquivos Brasileiros de Oftalmologia v.80 n.3 2017
reponame:Arquivos brasileiros de oftalmologia (Online)
instname:Conselho Brasileiro de Oftalmologia (CBO)
instacron:CBO
instname_str Conselho Brasileiro de Oftalmologia (CBO)
instacron_str CBO
institution CBO
reponame_str Arquivos brasileiros de oftalmologia (Online)
collection Arquivos brasileiros de oftalmologia (Online)
repository.name.fl_str_mv Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)
repository.mail.fl_str_mv aboonline@cbo.com.br||abo@cbo.com.br
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