Micro-rhex-pression technique: A novel approach for safe and predictable rhexis in intumescent cataracts.

ABSTRACT: Intumescent cataracts complicate cataract surgery due to high intra-lenticular pressure, often causing radial tears, such as the Argentinian flag sign. The micro-Rhex-pression technique offers a precise solution for achieving safe continuous curvilinear capsulorhexis in these cases. By creating a small central puncture in the anterior capsule and using controlled decompression with capsule massage to release liquified cortex, this method effectively reduces intra-lenticular pressure and minimizes tear risks. Applied in over 1,600 cases, it achieved a 99.6% success rate with minimal complications. Compared to costly femtosecond laser capsulotomy, micro-rhex-pression is affordable, efficient, and easy to learn, making it highly accessible. This technique advances intumescent cataract managem

SUBMITTER: Srivastava S 

PROVIDER: S-EPMC12507183 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature