Open AccessFemtosecond laser-assisted successful management of subluxated cataractous lens with vitreous in anterior chamber
Author(s) -
Jeewan S Titiyal,
Manpreet Kaur,
Anubha Rathi,
Ruchita Falera
Publication year - 2019
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_764_18
Subject(s) - medicine , vitrectomy , capsulotomy , ophthalmology , femtosecond , phacoemulsification , intraocular lens , posterior capsulotomy , laser , cataract surgery , lens (geology) , subluxation , visual acuity , optics , physics , alternative medicine , pathology
Femtosecond laser-assisted cataract surgery was performed in a case of posttraumatic cataract with six clock hours subluxation and vitreous in the anterior chamber (AC). Femtosecond laser pretreatment allowed a closed-chamber creation of corneal incisions, capsulotomy, and lens fragmentation with minimal sudden lens-diaphragm movements and zonular stress. Integrated imaging systems allowed customization of the size and position of capsulotomy and nuclear fragmentation, based on the extent and site of subluxation. Presence of vitreous in AC did not hamper femtosecond laser application. Triamcinolone-assisted vitrectomy was performed before phacoemulsification and after implanting the intraocular lens (IOL). Postoperative uncorrected visual acuity was 20/20 with a stable IOL.