ArticleIndian journal of ophthalmology2026
Bimanual decompression of intumescent cataract - Safety and refractive outcomes.
Article in Indian journal of ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Intumescent white cataracts are challenging because of the high risk of intraoperative complications and poor outcomes. Several techniques have been proposed to mitigate altered lenticular dynamics; however, they require surgical expertise or additional costly devices. Here, we report the safety and outcomes of a recently described bimanual decompression technique. We retrospectively reviewed consecutive cases of intumescent cataract between January 2020 and July 2023. We assessed the rates of intraoperative complications, post-op refractive outcomes, and deviations from predicted values. Fifty-nine patients (mean age, 63 years) underwent this procedure. All the patients underwent planned monofocal single-piece intraocular lens (IOL) without intraoperative complications. The preoperative visual acuity was 20/200 or worse in all patients. Postoperatively, 92% of the patients achieved a visual acuity of 20/60 or better. Predicted refraction accuracy within 0.5 diopters was achieved in 56% of patients, and 90% were within 1 diopters. Automated bimanual decompression is a simple, safe, and cost-effective method for managing intumescent cataracts. This method provides a practical solution to the challenges associated with capsulorhexis formation in these complex cases.
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