Femtosecond laser–assisted cataract surgery in vitrectomized eye with posterior chamber phakic intraocular lens

Abstract

SummaryWe describe a case of femtosecond laser-assisted cataract surgery (FLACS) in an eye with multiple comorbidities, including retinal detachment surgery, high myopia, posterior chamber phakic intraocular lens (PC pIOL) and residual, emulsified, silicone oil located in the anterior chamber. FLACS was affected by the optical blockage, but the incomplete capsular tear was recoverable. The case suggests that silicone oil bubbles concentrated at the dome of the posterior corneal surface, along with the PC pIOL optic edges and scars after corneal astigmatic relaxing incisions can lead to incomplete anterior capsulotomy.

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

“…Several authors have described the use of FLACS in eyes with anterior and posterior chamber ICLs. [345678] Anisimova et al reported bubbles similar to ours which lead to incomplete capsulotomy but did not interfere with nuclear fragmentation. [4] Similarly, Kaur et al reported incomplete nucleotomy due to bubble entrapment.…”