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

Detalhes bibliográficos
Autor(a) principal: Marques, Frederico Franca
Data de Publicação: 2017
Outros Autores: Villano Marques, Daniela Mieira, Matsumoto, Fabio Kenji
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000300199&lng=en&nrm=iso&tlng=en
https://repositorio.unifesp.br/handle/11600/54509
Resumo: 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 0 degrees-180 degrees. 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 reportsWe 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 0 degrees-180 degrees. 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.Univ Fed Sao Paulo, Dept Ophthalmol & Visual Sci, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Dept Ophthalmol & Visual Sci, Sao Paulo, SP, BrazilWeb of ScienceConsel Brasil Oftalmologia2020-07-13T11:53:17Z2020-07-13T11:53:17Z2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion199-201application/pdfhttps://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000300199&lng=en&nrm=iso&tlng=enArquivos Brasileiros De Oftalmologia. Sao Paulo, v. 80, n. 3, p. 199-201, 2017.10.5935/0004-2749.20170049S0004-27492017000300199.pdf0004-2749S0004-27492017000300199https://repositorio.unifesp.br/handle/11600/54509WOS:000408254100015engArquivos Brasileiros De OftalmologiaSao Pauloinfo:eu-repo/semantics/openAccessMarques, Frederico FrancaVillano Marques, Daniela MieiraMatsumoto, Fabio Kenjireponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-08T23:11:07Zoai:repositorio.unifesp.br/:11600/54509Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-08T23:11:07Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)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 Franca
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 Franca
author_facet Marques, Frederico Franca
Villano Marques, Daniela Mieira
Matsumoto, Fabio Kenji
author_role author
author2 Villano Marques, Daniela Mieira
Matsumoto, Fabio Kenji
author2_role author
author
dc.contributor.author.fl_str_mv Marques, Frederico Franca
Villano Marques, Daniela Mieira
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 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 0 degrees-180 degrees. 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
2020-07-13T11:53:17Z
2020-07-13T11:53:17Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000300199&lng=en&nrm=iso&tlng=en
Arquivos Brasileiros De Oftalmologia. Sao Paulo, v. 80, n. 3, p. 199-201, 2017.
10.5935/0004-2749.20170049
S0004-27492017000300199.pdf
0004-2749
S0004-27492017000300199
https://repositorio.unifesp.br/handle/11600/54509
WOS:000408254100015
url https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000300199&lng=en&nrm=iso&tlng=en
https://repositorio.unifesp.br/handle/11600/54509
identifier_str_mv Arquivos Brasileiros De Oftalmologia. Sao Paulo, v. 80, n. 3, p. 199-201, 2017.
10.5935/0004-2749.20170049
S0004-27492017000300199.pdf
0004-2749
S0004-27492017000300199
WOS:000408254100015
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Arquivos Brasileiros De Oftalmologia
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 199-201
application/pdf
dc.coverage.none.fl_str_mv Sao Paulo
dc.publisher.none.fl_str_mv Consel Brasil Oftalmologia
publisher.none.fl_str_mv Consel Brasil Oftalmologia
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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