Tips for Managing Intumescent White Cataracts

In this 1-Minute Video, Dr. Rahul Pandit demonstrates the incision and drainage, or I&D, of a white cataract. These cataracts often cause immense pressure on the anterior capsule and  radialize during a capsulorhexis. To prevent this complication, Dr. Pandit punctures the capsule in the center, inserts a canula and withdraws the liquified cortex from the subcapsular region. By carefully using the syring to increase the negative pressure, enough of the liquified cortex can be removed that there is decreased distention of the anterior capsule. The steps should be performed quickly to prevent radialization, after which time a capsulorhexis can be performed with less risk of complications.

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