Simple approach to prevent capsule tear-out during capsulorhexis creation in hypermature cataracts.

UNLABELLED: Capsule tear-out in hypermature cataracts (Argentinean flag sign) is a common and frustrating complication during the creation of a capsulorhexis. Completing the capsulorhexis through a small side-port incision, filling the anterior chamber with a highly viscous ophthalmic viscosurgical device such as a viscoadaptive agent, and using a 23- or 25-gauge microcapsulorhexis forceps to fill the side-port incision can reliably prevent this complication. FINANCIAL DISCLOSURE: Neither author has a financial or proprietary interest in any material or method mentioned.