Femtosecond Laser-assisted Cataract Surgery Technique to Enhance Safety in Posterior Polar Cataract

Journal of Refractive Surgery
J S TitiyalN Sharma

Abstract

To describe the technique of femtosecond laser-assisted cataract surgery for management of posterior polar cataracts. The technique was performed in 25 eyes of 20 patients with posterior polar cataract and nuclear sclerosis grades II to III. A hybrid pattern of three cylinders (2, 4, and 6 mm) and three chops (6 mm in length) was used for nucleotomy. Block by block emulsification of the pre-chopped nucleus was done from the center outward, with the remaining outer rings acting as a protective cushion. Manual hydrodissection and hydrodelineation were avoided. There were no cases with posterior capsular tear in this series and the phacoemulsification procedure could be completed uneventfully with implantation of intraocular lens in the bag in all of the eyes. The postoperative uncorrected Snellen visual acuity was 20/25 or greater in all cases. The technique of femtosecond laser-assisted cataract surgery with a hybrid pattern of cylinder and chop is safe and effective in managing cases of posterior polar cataract, specifically for higher grades of nuclear sclerosis.

References

Feb 10, 1999·Journal of Cataract and Refractive Surgery·A Vasavada, R Singh
Jan 29, 2003·Journal of Cataract and Refractive Surgery·I Howard FineRichard S Hoffman
Nov 12, 2003·The British Journal of Ophthalmology·M W Lee, Y C Lee
Jun 5, 2004·Journal of Cataract and Refractive Surgery·Abhay R Vasavada, Shetal M Raj
Aug 2, 2011·Acta Ophthalmologica·Tushar AgarwalAnita Panda
Sep 24, 2011·Journal of Cataract and Refractive Surgery·Timothy V RobertsChris Hodge
Dec 13, 2012·Journal of Refractive Surgery·Ina Conrad-HengererH Burkhard Dick
Apr 4, 2015·Journal of Cataract and Refractive Surgery·Abhay R VasavadaShetal Raj

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Citations

Dec 7, 2017·Indian Journal of Ophthalmology·Abhay R Vasavada, Vaishali A Vasavada
Jun 17, 2018·The British Journal of Ophthalmology·Soon-Phaik CheeSeng-Ei Ti
Mar 17, 2020·Indian Journal of Ophthalmology·Chintan MalhotraArun K Jain
Jun 9, 2020·European Journal of Ophthalmology·Piotr Kanclerz, Jorge L Alio
Jul 4, 2020·Journal of Cataract and Refractive Surgery·Jeewan S TitiyalLalit M S Bageshwar
Sep 26, 2020·Indian Journal of Ophthalmology·Mahipal S SachdevGitansha Shreyas Sachdev
May 1, 2020·Journal of Ophthalmology·Sang Beom HanJodhbir S Mehta

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