Femtosecond cataract laser capsulotomy enabling optic capture and secondary sulcus iol insertion in an eye with traumatic aniridia and aphakia.
PURPOSE: To describe a surgical technique and intraoperative modifications to create a secondary capsulotomy using the femtosecond cataract laser in an eye with traumatic aphakia and aniridia. METHODS: The expanded use of the femtosecond cataract laser (Catalys Precision Laser System; Optimedica, Sunnyvale, CA) for creation of a well-centered and circular secondary capsulotomy in the capsular remnants of an eye with traumatic aphakia and aniridia. RESULTS: Using software modifications based on intraoperative anterior segment spectral-domain optical coherence tomography imaging, and customizing the capsulotomy settings, the femtosecond cataract laser was able to penetrate through most of the fused anterior and posterior capsular leaflets and a circular capsulotomy was achieved. The latter permitted optic capture and excellent centration of a three-piece intraocular lens placed in the sulcus with good postoperative visual rehabilitation. CONCLUSION: The femtosecond cataract laser can be customized to create a well-centered and circular secondary capsulotomy in aniridic and aphakic eyes where optic capture is critical for long-term intraocular lens stability.
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Related Subject Headings
- Visual Acuity
- Tomography, Optical Coherence
- Posterior Capsulotomy
- Ophthalmology & Optometry
- Middle Aged
- Male
- Lens, Crystalline
- Lens Implantation, Intraocular
- Lasers, Excimer
- Iris
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Visual Acuity
- Tomography, Optical Coherence
- Posterior Capsulotomy
- Ophthalmology & Optometry
- Middle Aged
- Male
- Lens, Crystalline
- Lens Implantation, Intraocular
- Lasers, Excimer
- Iris