Comparison of Intraocular Lens Decentration Parameters After Femtosecond and Manual Capsulotomies

Abstract

Femtosecond laser capsulorrhexis was more regularly shaped, showed better centration, and showed a better intraocular lens/capsule overlap than manual capsulorrhexis.

Where Should the IOL Go When it Does Not Go Where it Should?

“…These fi ndings support the authors' previous work regarding minimal IOL decentration with femtosecond laser capsulotomy 3 and the utility of this device in otherwise challenging cases where traditional capsulotomy approaches may have resulted in loss of capsular integrity necessitating alternate IOL placement location. 4 Alió and colleagues have reported the effi cacy of a novel rotationally asymmetric multifocal IOL, 5 and in this month's issue, provide intriguing data that suggest capsular tension ring (CTR) placement, even in seemingly normal capsules, improves outcomes with this IOL.…”

The journey to femtosecond laser-assisted cataract surgery: new beginnings or a false dawn?

“…14,21,28,[42][43][44][45] An anterior capsule that completely overlaps the optic of the IOL is known to reduce the risk of posterior capsular opacification, improve IOL centration and reduce myopic shift. 34, 45 Nagy's team have produced statistically significantly lower rates of incomplete capsulotomy-IOL overlap with FLACS (6/54; 11%) when compared with conventional cataract surgery (16/57; 28%), although this study was limited by short follow-up of 1 week and a lack of blinding for the postoperative measurements. 45 Another conclusion from this study was that the diameter of manual capsulorhexes varied with differences in pupil size, axial length, and magnification from the corneal curvature.…”

Femtolaser Cataract Surgery: How to Evaluate This Technology, Read the Literature, and Avoid Possible Complications

“…Our group published the fi rst clinical studies in 2009 1 ; since then a number of publications, [2][3][4][5][6][7][8] including the article by ConradHengerer et al 8 in this issue of the Journal of Refractive Surgery, have appeared in the peer-reviewed literature, and an abundance of nonpeer-reviewed "information" has become available for surgeon and patient alike.…”