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 management by providing a reliable, safe, and accessible approach for optimal surgical outcomes. Its straightforward approach and short learning curve make it accessible, providing surgeons with a reliable method to improve outcomes in managing challenging intumescent cataracts. This technique enhances surgical safety and accessibility, transforming the approach to such complex cataracts.