Cataract surgery on an intumescent white cataract presents unique challenges that require careful planning and precise intraoperative technique to avoid complications such as capsular rupture or zonular stress.
These mature cataracts, often referred to as “white” or “hypermature” due to their milky appearance, are swollen with liquefied cortex under pressure. The anterior capsule is often under significant tension, and visualization is poor due to the absence of a red reflex. The key to successful surgery lies in mastering techniques that safely decompress the lens,