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Updated: Feb 13, 2026
04:53
A Novel Capsulorhexis Technique Using Shearing Forces with Cystotome
Published on: May 15, 2010
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Reverse Argentinean flag sign: Intraoperative complication during capsulorhexis
Suruchi Bhardwaj1, Alexander Bottini1, Iqbal Ike K Ahmed1
1From the Department of Ophthalmology (Bhardwaj, Bottini, Modi), New York University School of Medicine, New York, New York, USA; the Department of Ophthalmology and Vision Sciences (Ahmed), University of Toronto, Toronto, Prism Eye Institute (Ahmed), and Trillium Health Partners (Ahmed), Mississauga, Ontario, Canada.
Journal of Cataract and Refractive Surgery
|March 12, 2018
Summary
Surgeons created a reverse Argentinean flag sign during cataract surgery due to excessive fluid in the anterior chamber. This complication involves radialization of the anterior capsule, unlike the typical Argentinean flag sign.
Area of Science:
- Ophthalmology
- Surgical Complications
- Cataract Surgery
Background:
- Continuous curvilinear capsulorhexis is a crucial step in cataract surgery.
- Maintaining appropriate anterior chamber dynamics is essential for safe capsulorhexis creation.
- The Argentinean flag sign describes a specific anterior capsule tear pattern.
Observation:
- A case of iatrogenic excessive anterior-to-posterior (A-P) gradient during capsulorhexis is presented.
- The complication occurred in a nonintumescent lens with an open anterior capsule.
- An exuberant ophthalmic viscosurgical device fill led to the complication.
Findings:
- The excessive A-P gradient caused radialization of the anterior capsule.
- This phenomenon is the inverse mechanism of the observed Argentinean flag sign.
- The complication is termed the reverse Argentinean flag sign.
Implications:
- Understanding this inverse mechanism can help prevent similar complications.
- Proper management of anterior chamber fluidics is critical during capsulorhexis.
- This finding contributes to the literature on surgical complications in cataract surgery.
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