Femtosecond laser-assisted cataract surgery in pediatric patients

Femtosecond laser - Assisted cataract surgery in pediatric pyramidal anterior polar cataract

“…There is limited evidence in the literature reporting the use of femtosecond laser in pediatric cataract cases. 3 , 4 , 5 , 6 Here we report the successful use of FLACS in a pediatric pyramidal cataract and propose that this technique be considered as an option in such cases. To the best of our knowledge there has been no reports of prior use of femtosecond laser in cases of pyramidal cataracts.…”

“…Few reports exist in the literature for the use of FLACS in children. 3 , 4 , 5 , 6 Our institute has previously reported the use of FLACS in a child with Peters anomaly type 2 and a significant cataract in the presence of central corneal opacification and corneolenticular adhesions. 7 We propose the use of femtosecond laser technology to perform a continuous capsulotomy in pediatric pyramidal cataract to improve precision, safety and reproducibility.…”

Portable femtosecond laser assisted cataract surgery in a child with bilateral ectopia lentis with microspherophakia

“… 5 The use of FLACS has been previously described for creation of predictable and centered capsulotomy in children. 6 , 7 Besides subluxated cataracts, FLACS has further been utilized in several complex cases such as traumatic cataracts, lens capsule damage, intumescent cataracts, posterior polar cataracts, anterior capsular anomalies like Alport's syndrome, brunescent cataracts, eyes with prior refractive surgeries and lower endothelial cell counts. 8 Schultz T and coworkers employed the FLACS system (Catalys Precision Laser System; OptiMedica, Sunnyvale, CA) to create a precisely sized capsulotomy under general anesthesia in a 10 years old boy with Marfans syndrome with ectopia lentis.…”

“…It is believed that the newly introduced portable femtosecond laser assisted cataract surgery (FLACS) platform might aid in overcoming this restriction in pediatric patients. 6 However, we describe for the first time the safety and efficacy of this system in management of a child with ectopia lentis with microspherophakia under general anesthesia.…”

Pediatric cataract surgery: considerations and updates in diagnosis and management

“…Techniques for an anterior capsule opening in children include manual, vitrectorhexis, radiofrequency diathermy, and a four incision capsulorhexis. Femtosecond laser is also becoming a more common for anterior capsulorhexis in children, likely because of increased availability and use in adult cataract surgery [11,12,13 ▪ ,14,15]. Femtosecond laser is an option for both the anterior and posterior capsulotomy in pediatric cataracts, though it requires the laser system be installed in a sterile operating area so that the entire surgery can be completed under general anesthesia.…”