Capsulotomy or capsulorhexis in femtosecond laser–assisted cataract surgery?

Dick, H. Burkhard; Gerste, Ronald D.; Schultz, Tim; Waring, George O.

doi:10.1016/j.jcrs.2013.07.004

Cited by 12 publications

(10 citation statements)

References 4 publications

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“…A precise and well-performed capsulorhexis is crucial to perform an uncomplicated cataract extraction, intraocular lens implantation, and centration. [1][2][3] This main step in cataract surgery and refractive lens exchange surgery is commonly performed manually.…”

mentioning

confidence: 99%

“…Femtosecond lasers are now changing how lens surgery is performed by becoming involved in the main steps of the surgical process: corneal incisions, capsulotomy, and lens fragmentation. Dick et al 2 recently suggested a new terminology for opening the anterior lens capsule with a femtosecond laser: capsulotomy instead of capsulorhexis, as the femtosecond laser operates as a cutting knife by using focal photodisruption.…”

mentioning

confidence: 99%

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Cell Death and Ultrastructural Morphology of Femtosecond Laser–Assisted Anterior Capsulotomy

Mayer

Klaproth

Ostovic

et al. 2014

Invest. Ophthalmol. Vis. Sci.

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mentioning

confidence: 99%

mentioning

confidence: 99%

Cell Death and Ultrastructural Morphology of Femtosecond Laser–Assisted Anterior Capsulotomy

Mayer

Klaproth

Ostovic

et al. 2014

Invest. Ophthalmol. Vis. Sci.

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“…All fractures were very well done, and there were no cases of posterior capsule rupture. Anterior capsulotomies that were created by the laser were more uniform, precise and predictable than those produced by manual capsulorhexis (7) . Initial procedures performed on humans further support the viability of the LenSx FSL technology to improve the safety and reproducibility of two of the most important steps in cataract surgery process: anterior capsulotomy and phaco-fragmentation.…”

Section: Discussionmentioning

confidence: 95%

Clinical experience with the first 40 cases with femtosecond laser cataract surgery technology: safety of the learning curve

Crispim

Nosé

Garcia

et al. 2015

Revista Brasileira De Oftalmologia

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Objective: To evaluate the introduction of the femtosecond laser (FSL) RESUMOObjetivo: Avaliar a introdução do laser de femtossegundo (FSL) para realizar etapas fundamentais da cirurgia de catarata tradicional e as dificuldades e segurança desta nova tecnologia na rotina de um centro cirúrgico no Brasil. Métodos: Um estudo retrospectivo foi realizado com os primeiros casos operados em um único centro usando a plataforma de laser LenSx/Alcon, sendo utilizado lentes de contato gelatinosa na interface do paciente. Todos os pacientes foram submetidos a uma avaliação pré-operatória detalhada. Capsulotomia anterior, fragmentação nuclear e incisões na córnea foram criados com a FSL, em seguida, a cirurgia foi concluída com procedimento de facoemulsificação padrão. As principais medidas de desfecho foram dificuldades e complicações relacionadas à curva de aprendizado e análise da acuidade visual pós-operatória não corrigida à distância (UDVA). Resultados: Dos 31 pacientes (40 olhos), 9 realizaram cirurgia de catarata em ambos os olhos com FSL. A média de idade foi de 64 ± 12 anos (variando de 42 a 82), a média de classificação da catarata através da esclerose nuclear foi 2 ± 0,6 (variando de 1 a 4) e UDVA pré-operatória em logMAR foi de 0,4 ± 0,2 (variando de 0,1 a 1,3). A capsulotomia anterior foi completa em todos os pacientes e não precisou usar da pinça para cortar qualquer porção intacta. Incisões corneanas pós-operatórias não foram lineares, mostrando ainda algumas irregularidades. A facofragmentação a laser foi eficaz, com a divisão do núcleo em segmentos menores facilmente realizados antes da facoemulsificação. Após 1 mês de pós-operatório, UDVA em logMAR foi de 0,1 ± 0,1 (variando de 0,0 a 0,4) (P < 0,0001

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“…From this point of view, we can hypothesize that mature cataracts are much more prone to incomplete capsulotomy during FS laser surgery due to high intracapsular pressure and anterior capsule fibrosis. Although there are several articles about the efficacy and safety of FS laser capsulotomy, there is scarce data available about the performance of this system in mature cataracts [7,11,15,16,[18][19][20][21][22][23][24]. In the study by Abell et al [15], the incidence of anterior capsular tears after FS laserassisted cataract surgery versus phacoemulsification cataract surgery was compared.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the efficacy and safety of femtosecond laser capsulotomy between mature and non‐mature cataracts

Asena

Kaşkaloğlu

2016

Lasers Surg Med

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The grade of cataract significantly increased the number of suboptimal capsulotomy outcomes in FS laser capsulotomy. In mature cataract cases, the surgeon should be aware of limitations of FS laser in order to prevent capsule-related complications. Further studies of the relationship between pulse energy, patient interface design, and capsule burst strength will help elucidate the optimum parameters for laser capsulotomy creation in mature cataracts. Lasers Surg. Med. 48:590-595, 2016. © 2016 Wiley Periodicals, Inc.

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Capsulotomy or capsulorhexis in femtosecond laser–assisted cataract surgery?

Cited by 12 publications

References 4 publications

Cell Death and Ultrastructural Morphology of Femtosecond Laser–Assisted Anterior Capsulotomy

Cell Death and Ultrastructural Morphology of Femtosecond Laser–Assisted Anterior Capsulotomy

Clinical experience with the first 40 cases with femtosecond laser cataract surgery technology: safety of the learning curve

Comparison of the efficacy and safety of femtosecond laser capsulotomy between mature and non‐mature cataracts

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