Femtosecond laser-assisted cataract surgery in management of posterior capsule tear following blunt trauma: Case report and review of literature

Prager, Alisa J.; Basti, Surendra

doi:10.1016/j.ajoc.2020.100742

Cited by 7 publications

(6 citation statements)

References 32 publications

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“…In this case, FLACS allowed the implantation of a 3-piece IOL and a capsular tension ring in the sulcus, which resulted in improved visual and anatomical outcomes 53 . These reports suggest that FLACS may be advantageous for improving visual outcomes and safety in patients with preexisting posterior capsular defects 46,52,53 …”

Section: Flacs In Challenging Cataract Casesmentioning

confidence: 78%

“…53 In this case, FLACS allowed the implantation of a 3-piece IOL and a capsular tension ring in the sulcus, which resulted in improved visual and anatomical outcomes. 53 These reports suggest that FLACS may be advantageous for improving visual outcomes and safety in patients with preexisting posterior capsular defects. 46,52,53 However, the application of FSL in cases with more extreme zonular dialysis and lens subluxation may be limited because of lens tilt, difficulty in acquisition of optical coherence tomography images, and inability to obtain a wellcentered capsulotomy.…”

Section: Flacs In Cases With Capsular Instability or Damagementioning

confidence: 85%

“…Prager et al 53 recently reported a case of traumatic cataract accompanied by a posterior capsular defect and zonular dialysis in which FSL facilitated the creation of precise and complete anterior capsulotomy and lens fragmentation without additional damage to the zonular and posterior capsule 53 . In this case, FLACS allowed the implantation of a 3-piece IOL and a capsular tension ring in the sulcus, which resulted in improved visual and anatomical outcomes 53 . These reports suggest that FLACS may be advantageous for improving visual outcomes and safety in patients with preexisting posterior capsular defects 46,52,53 …”

Section: Flacs In Challenging Cataract Casesmentioning

confidence: 99%

“…52 Nagy et al 46 also revealed that FSL can be successfully used in cases of traumatic cataract after penetrating ocular injury, even in the presence of an anterior capsular defect. Prager et al 53 recently reported a case of traumatic cataract accompanied by a posterior capsular defect and zonular dialysis in which FSL facilitated the creation of precise and complete anterior capsulotomy and lens fragmentation without additional damage to the zonular and posterior capsule. 53 In this case, FLACS allowed the implantation of a 3-piece IOL and a capsular tension ring in the sulcus, which resulted in improved visual and anatomical outcomes.…”

Section: Flacs In Cases With Capsular Instability or Damagementioning

confidence: 99%

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Application of Femtosecond Laser in Challenging Cataract Cases

Lee,

Cho,

Hyon

et al. 2023

Asia-Pacific Journal of Ophthalmology

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Femtosecond laser can provide precise and customized incision of ocular tissue with excellent accuracy and predictability. Thus, femtosecond laser–assisted cataract surgery (FLACS) can theoretically enhance the safety and efficacy of cataract surgery by providing reproducible and reliable clear corneal incision, limbal relaxing incision, anterior capsulotomy, and lens fragmentation. However, thus far, the superiority of the anatomical and visual outcomes of FLACS over those of conventional cataract surgery have been unclear. Nevertheless, studies have indicated that FLACS can potentially be helpful in improving the safety of cataract surgery in challenging situations, such as zonular weakness, preexisting capsular tear, white cataract, shallow anterior chamber, and pediatric cataracts, which may contribute to enhanced visual and anatomical outcomes. In this review, we provide a summary of the application of femtosecond laser in general cataract cases. In addition, we introduce the application of FLACS in the abovementioned challenging situations and discuss the results of studies regarding the safety and outcome of FLACS in these challenging cases.

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Section: Flacs In Challenging Cataract Casesmentioning

confidence: 78%

Section: Flacs In Cases With Capsular Instability or Damagementioning

confidence: 85%

Section: Flacs In Challenging Cataract Casesmentioning

confidence: 99%

Section: Flacs In Cases With Capsular Instability or Damagementioning

confidence: 99%

See 2 more Smart Citations

Application of Femtosecond Laser in Challenging Cataract Cases

Lee,

Cho,

Hyon

et al. 2023

Asia-Pacific Journal of Ophthalmology

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“…Interessant ist auch die Rolle des Femtosekundenlasers in der Behandlung solcher Fälle. Dieser kann insbesondere bei der Durchführung der Kapsulorhexis und der Linsensegmentation hilfreich sein [5] Eine Laservitreolyse sollte nur durchgeführt werden, wenn die Glaskörpertrübungen einen gewissen Abstand zur Netzhaut und zur Linse aufweisen und die Symptome chronisch vorhanden sind [2]. Ein routinemäßiger Einsatz wird aufgrund der oben genannten Komplikationen und der eingeschränkten Studienlage kontrovers diskutiert [7].…”

Section: Diskussionunclassified

Sehverschlechterung und Blendungsempfindlichkeit nach Laservitreolyse

2020

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Sehverschlechterung und Blendungsempfindlichkeit nach Laservitreolyse Anamnese und Untersuchung Es stellte sich eine 52-jährige Patientin zur Mitbeurteilung bei Blendungsempfindlichkeit v. a. abends, einer rechtsseitigen Hyperopie und einer Gangunsicherheit vor. Diese Symptome bestanden seit einer 5 Monate zuvor extern durchgeführten Laservitreolyse bei Glaskörpertrübungen. Vorbekannt war eine beidseitige leichte Myopie. In der Untersuchung zeigte sich eine rechtsseitige Hyperopisierung mit einem rechtsseitigen Visus von 0,6 (Sphäre (S) +2,50 Zylinder (Z)-1,50 Achse (A) 14) und einem linksseitigen Visus von 0,8 (S-2,75 Z 0 A 0). Der intraokulare Druck war beidseits normoton. Rechtsseitig zeigte sich ei-Abb. 2 9 Scheimpflug-Tomographie des vorderen Augenabschnitts mit Darstellung des Hinterkapseldefekts (Pfeile), a Übersichtsdarstellung, b zusätzlich "slope filter"

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