Managing the rock hard cataract
Challenging cataract cases Managing the rock hard cataract by Faith A. Hayden EyeWorld Staff Writer -------------------------------------------------------------------------------- An example of a white cataract Source: Gary Miller, C.R.A., O.C.T.-C. Pearls of wisdom for a successful surgery Removing a hypermature cataract is not an everyday occurrence at ophthalmology practices in the United States. But these extreme cases do happen with some frequency stateside, particularly in rural areas. Without proper precautions the surgery can head south at an alarming rate, with a sudden jagged strip of white extending end-to-end across the blue-stained capsule. This complication, known as the Argentinian Flag Sign (AFS), is the most common complication for intumescent cataracts and one of the more dangerous. How do you manage a white cataract successfully? Can the Argentinian Flag Sign be avoided altogether? EyeWorld spoke with a number of cataract surgeons who answered th