CataractCoach™ 2240: Blanco-puncture technique for intumescent white cataracts

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Yesterday's outstanding CataractCoach Podcast featured Dr Juan Batlle who explained the Blanco-Puncture technique that he learned from Argentinian surgeon Dr Ariel Blanco. This is a method of decompressing an intumescent white cataract in order to neutralize the pressure gradient and prevent the dreaded Argentinian flag sign complication. This method uses a small gauge needle to decompress the lens capsule BEFORE creating a paracentesis or the main incision. I have not yet tried this technique, but after seeing this video, I am looking forward to seeing if this is the ultimate solution. Have you tried this method before? Please comment below.

Пікірлер: 22

@jumipaez

Hey Uday, just a small tip to add, you should purge the syringe and needle with BSS and ensure there is no air in the system, as to further reassure you won’t be adding another pressure gradient to the mixture. Great video.

@soccer24six

in cases where the intralenticular pressure is particularly high, it STILL seems like the rhexis COULD run out whenever the capsule is opened in this way, but his concept of squeezing the balloon does make sense, so perhaps this IS the best approach...Thx for sharing Dr.Blanco/Batlle/Devgan 🙏

@medicinaebystudiodiclement9310

NEVER HEARD ABOUT THIS TECNIQUE, THAT i FIND EXCELLENT!

@muhammadamin3095

Excellent, it really will help alot,thanks again for sharing The Blanco technique

@josealejandrolozanoviera3032

Thanks to focus in that topic.

@MrHassaanjd

Very interesting perspective

@glowinthedarksharkk

Excited to see your version or others' attempts with this technique!

@MrWatshisface

Great vid! Can't wait to try it.

@bakiranis8869

It looks very helpful, but how do you stain with trypane blue dye once it opens ?

@mujeebiqbal9984

Would be very helpful in phacomorphic glaucoma surgery.

@rafdxtz

Would you still use viscoelastic for capsulorhexis after this technique or not?

@TimRoot-dotcom

Now that is interesting! Thanks for posting!

@abdel-azizkamal6035

What about staining after puncture?

@ahmedal-amer3218

Doc is there a risk -of argentinian flag or scotish -if you just go in and aspirate with the cystotome?

@mehdioueslati8742 Күн бұрын

I tried this technique yesterday on an intumescent white cataract, but unfortunately, it didn't prevent the Argentinian flag sign. Next time, I will try a YAG laser…