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FLACS technique in patients with insufficient mydriasis

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Session Details

Session Title: Femtolaser-Assisted Cataract Surgery (FLACS) I

Session Date/Time: Sunday 08/10/2017 | 08:00-10:00

Paper Time: 09:34

Venue: Room 3.6

First Author: : B.Malyugin RUSSIA

Co Author(s): :    E. Malyutina   A. Belodedova                 

Abstract Details


To present the surgical technique of femtosecond laser assisted capsulotomy and lens fragmentation in patients with insufficient mydriasis with the help of the Malyugin Ring 2.0.


S. Fyodorov Eye Microsurgery Institution, Moscow, Russia.


We present the 14 patients (14 eyes) with pupils insufficiently dilated were scheduled for FLACS with the Ziemer Z8 system (Switzerland). At the beginning of the surgery 2,0 mm clear corneal incision was made, and dispersive OVD –Viscoat (Alcon USA) was injected and the Malyugin Ring 2.0 (MicroSurgical Technology Inc., USA) inserted into the anterior chamber. All scrolls of the device were positioned in place with the help of the Osher/Malyugin ring manipulator. Additional dispersive OVD was injected into the anterior chamber and the corneal tunnel was checked for water tightness. Laser was docked to the eye and femtosecond laser femtosecond capsulotomy, lens fragmentation, aspiration, and IOL implantation into the capsular bag were performed.


In 3 eyes OVD exiting the corneal tunnel was observed at docking. However there were no specific complications related to the anterior chamber loss. In 4 eyes small anterior capsular tags/adhesions were observed at the laser capsulotomy edge. Hydrodissection, lens removal and IOL implantation were uneventful. In one case radial tear not extending to the periphery was observed. BCVA preop was 0,12±0.09 and improved to 0,78±0.17 at the 1st day postoperatively.


Surgical technique described here above is a useful addition to the surgical armamentarium when performing FLACS in patients with poorly dilated pupils.

Financial Disclosure:

gains financially from product or procedure presented

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