Challenges during femtosecond laser assisted cataract surgery with posterior chamber phakic intraocular lens

Nath, Manas; Gireesh, Prasanth

doi:10.4103/ijo.ijo_1852_18

Cited by 6 publications

(6 citation statements)

References 8 publications

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“…Femtosecond laser-assisted cataract surgery (FLACS) combined with ICL extraction has been shown to be a feasible method for patients developing cataracts after the ICL implantation [180][181][182][183]. We can also proceed for ICL explanation with cataract surgery and IOL insertion of the affected eye [184].…”

Section: Cataractmentioning

confidence: 99%

Analysis of perioperative problems related to intraocular Implantable Collamer Lens (ICL) implantation

et al. 2022

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Purpose To introduce a modified procedure of ICL implantation, to summarize the perioperative problems and their corresponding treatment after myopia correction with Implantable Collamer Lens (ICL), and to compare the difference of complications between the no-hole ICL and hole ICL. Methods We searched all articles on ICL-related perioperative problems and their corresponding treatment in Scopus, Embase, PubMed and Web of Science databases for the last 22 years. Results ICL implantation is safe, effective, stable and predictable in the correction of myopia, hyperopia and astigmatism, but can also cause a series of perioperative problems, including intraoperative and postoperative complications. Conclusion There are many kinds of complications related to ICL, but the common intraoperative and postoperative complications mainly include abnormality of arch height, abnormal position of ICL, loss of corneal endothelial cells and corneal decompensation, high intraocular pressure and secondary glaucoma, cataract and night vision symptoms. Compared with ICL without central pore, the incidence of complications such as loss of corneal endothelial cells and corneal decompensation, high intraocular pressure and secondary glaucoma and cataract was relatively lower in central hole ICL, while postoperative complications such as night vision symptoms were obvious.

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Section: Cataractmentioning

confidence: 99%

Analysis of perioperative problems related to intraocular Implantable Collamer Lens (ICL) implantation

et al. 2022

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“…It has been reported that incomplete nuclear fragmentation can be more common when performing FLACS in the presence of anterior or posterior chamber PIOLs [8,9]. Incomplete nuclear fragmentation has been attributed to bubble accumulation beneath the PIOL which can also be responsible for incomplete capsulotomy [9]. Other reported challenges are related to the docking procedure.…”

Section: Discussionmentioning

confidence: 99%

Femtosecond Laser Assisted Cataract Surgery in a Patient with Anterior Chamber Phakic IOL in situ

Hashemi¹,

Pourmatin²,

Asgari³

2022

SCR

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Introduction: Conventional phacoemulsification and intraocular lens (IOL) implantation for patients who already have a phakic IOL (PIOL) in situ can present challenges in IOL power calculation and the surgical procedure. Here we report a case of phacoemulsification with IOL implantation without removing the anterior toric PIOL. Patient and Clinical Findings: This 45-year-old male was referred to our clinic with mature cataract in the right eye, and a history of multiple corneal surgical procedures including radial keratotomy, LASIK, corneal cross-linking, and Artiflex toric PIOL implantation. Uncorrected (UDVA) and corrected (CDVA) distance visual acuity were 20/2000. Diagnosis, Intervention, and Outcomes: Since CDVA was 20/25 after toric PIOL implantation and prior to the development of cataract, and the cornea was compromised, the toric PIOL was not removed. Using femtosecond laser assisted cataract surgery (FLACS) through the toric PIOL, capsulotomy and lens fragmentation were completed without modifying the device setting, and an IOL was inserted in the bag. At one year after surgery, right eye UDVA, CDVA, and refraction were 20/32, 20/25, and +1.25/-1.00*120ᵒ. Conclusion: In this case, FLACS was a successful technique for preserving the toric PIOL, and results were stable during the one year of postoperative follow up.

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“…The authors have described the successful use of FLACS in a case with posterior chamber pIOL in situ. [3] They manually adjusted the laser treatment zone to avoid laser delivery to the implantable collamer lens (ICL) and observed accumulation of cavitation bubbles beneath the ICL hampering successful nuclear fragmentation.…”

mentioning

confidence: 99%

“…It is essential to manually adjust the treatment zone, and various modifications in laser parameters have been suggested for optimal results including increasing the depth and vertical spot spacing of capsulotomy as well as increasing the safety zones of anterior and posterior lens capsules during nuclear fragmentation. [345]…”

mentioning

confidence: 99%

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Commentary: Femtosecond laser assisted cataract surgery in cataract with phakic intraocular lenses in situ

Titiyal

Kaur

2019

Indian J Ophthalmol

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Challenges during femtosecond laser assisted cataract surgery with posterior chamber phakic intraocular lens

Cited by 6 publications

References 8 publications

Analysis of perioperative problems related to intraocular Implantable Collamer Lens (ICL) implantation

Analysis of perioperative problems related to intraocular Implantable Collamer Lens (ICL) implantation

Femtosecond Laser Assisted Cataract Surgery in a Patient with Anterior Chamber Phakic IOL in situ

Commentary: Femtosecond laser assisted cataract surgery in cataract with phakic intraocular lenses in situ

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