Argentinian Flag Sign during Cataract Surgery: Case Reports

Three case reports involving the Argentinian Flag Sign (AFS) during cataract surgery are presented in this paper with a discussion of the relevance to patients with a history of vitrectomy and silicone oil usage. Insights into the management of cases with similar complications, including surgical strategies, intraoperative findings, and post-surgical outcomes, are offered.

Cases 1, 2, and 3 involved a 47-year-old female, a 26-year-old female, and a 57-year-old male, all of whom had a history of retinal detachment, vitrectomy, and silicone oil use. The AFS was observed during cataract surgery in all patients. Intraocular Lens (IOL) implantation was successfully achieved and visual acuity improved in all cases.

The observation of AFS is more common in younger patients and those with a history of vitreoretinal surgery, and poses surgical challenges to avoid significant impact on postoperative visual acuity. Appropriate preoperative assessment to inform the choice of surgical technique is vital to ensure successful outcomes. Stable anterior chamber pressure should be maintained and the emulsified cortex must be carefully removed. Individualized adjustment of fluid dynamics is required to minimize the risk of radial tearing of the anterior capsule. In conclusion, favorable outcomes may be achieved despite the appearance of the AFS during cataract surgery.