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Femtosecond laser assisted capsulotomy in the treatment of capsule contraction case report.

ABSTRACT: Purpose:To present the surgical value of femtosecond laser capsulotomy in the treatment of capsular contraction. Observations:The clinical case of a 63-year-old male patient with single eye who, two months after cataract surgery without complications, presented a significant dislocation of the secondary intraocular lens due to a capsule contraction and epithelial metaplasia that covered the lens optics and caused low vision. Conclusions:The femtosecond laser-assisted capsulotomy proved to be effective and safe with minimal traction on the zonule and no IOL damage, in this patient with a follow-up of 29 months.

SUBMITTER: Recalde PL

PROVIDER: S-EPMC7472803 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Femtosecond laser assisted capsulotomy in the treatment of capsule contraction case report.

Recalde Pablo Larco PL Larco Carolina C Torres Daniel D Larco Pablo P

American journal of ophthalmology case reports 20200823

<h4>Purpose</h4>To present the surgical value of femtosecond laser capsulotomy in the treatment of capsular contraction.<h4>Observations</h4>The clinical case of a 63-year-old male patient with single eye who, two months after cataract surgery without complications, presented a significant dislocation of the secondary intraocular lens due to a capsule contraction and epithelial metaplasia that covered the lens optics and caused low vision.<h4>Conclusions</h4>The femtosecond laser-assisted capsul ...[more]

PMID: 32913925

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Project description:Purpose To evaluate capsulotomy shape and posterior capsule opacification (PCO) during an 18-month follow-up for bimanual femtosecond laser-assisted cataract surgery (FLACS). Methods 74 eyes operated by a well-trained surgeon with bimanual FLACS technique using low-energy LDV Z8 (Ziemer Ophthalmic Systems AG, Port, Switzerland) were included in the study. The follow-up period was 18?±?2 months. Another 91 eyes, which underwent standard bimanual microincision cataract surgery (B-MICS), served as a control group. In all cases, a BunnyLens AF (Hanita Lenses, Israel) intraocular lens was implanted in the bag. A digital image of the capsule with slit-lamp retroillumination was performed in all patients at 18 months of follow-up. Image analysis software (ImageJ) was used to evaluate the shape of the capsulotomy in terms of diameter, area, and circularity. PCO score was evaluated using EPCO 2000 software. Best corrected visual acuity (BCVA) and endothelial cell count (ECC) were evaluated before and after surgery at 1 and 18?±?2 months. Results At 18 months, mean capsulotomy diameter was 5.34?±?0.21?mm while capsulorhexis was 5.87?±?0.37?mm (p < 0.001) and the deviation area from baseline was 1.13?±?1.76?mm2 in FLACS and 2.67?±?1.69?mm2 in B-MICS (p < 0.001). Capsulotomy circularity was 0.94?±?0.04 while capsulorhexis was 0.83?±?0.07 (p < 0.001). EPCO score was 0.050?±?0.081 in the FLACS group and 0.122?±?0.239 in the B-MICS group (p=0.03). The mean BCVA improvement was significant in both groups, without a significant difference at 18 months. We noticed a statistically significant difference in endothelial cell loss at 18 months (FLACS 12.4% and B-MICS 18.1%; p=0.017). Conclusions Bimanual FLACS is a safe and effective technique, as determined in a long-term follow-up. Capsulotomy shape presented higher stability and circularity in the FLACS group over the 18-month observation period. FLACS resulted in lower PCO scores and endothelial cell loss at 18 months in comparison to B-MICS standard technique.

Dataset Information

Femtosecond laser assisted capsulotomy in the treatment of capsule contraction case report.

Publications

Femtosecond laser assisted capsulotomy in the treatment of capsule contraction case report.

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