DOI: https://doi.org/10.36347/sjams.2026.v14i04.028

Pages: 611-613

Total white cataracts represent a major surgical challenge due to increased intralenticular pressure, absence of red reflex, and high risk of capsular complications. Successful management requires careful preoperative preparation and adapted surgical techniques. This review proposes a structured surgical strategy based on risk stratification, including patient preparation, capsulorhexis techniques, decompression methods, and intraoperative precautions. Particular emphasis is placed on preventing capsular rupture and optimizing surgical safety. By combining proper anticipation and technique adaptation, excellent outcomes can be achieved even in high-risk cases.