Femtosecond cataract laser capsulotomy enabling optic capture and secondary sulcus iol insertion in an eye with traumatic aniridia and aphakia.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Grewal, DS; Basti, S

Published Date

  • June 2014

Published In

Volume / Issue

  • 30 / 6

Start / End Page

  • 416 - 419

PubMed ID

  • 24972408

International Standard Serial Number (ISSN)

  • 1081-597X

Digital Object Identifier (DOI)

  • 10.3928/1081597X-20140516-02


  • eng

Conference Location

  • United States