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First Author: J.Gayton USA
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To evaluate femtosecond laser-assisted cataract surgery in patients with narrow angles and the use of anterior segment imaging to aid in the diagnosis of narrow angles.
Amsterdam RAI, Europaplein, NL 1078 GZ, The Netherlands
Patients with cataracts and narrow angles on slit-lamp examination had anterior chamber scans performed with the Zeiss® Cirrus HD-OCT and biometry for intraocular lens implant calculations obtained with the Haag-Streit Lenstar LS 900®. Patients were then treated with a femtosecond laser to create the anterior capsule opening, fragment the lens, create clear corneal incisions, and relaxing incisions if necessary. Following femtosecond laser treatment, the patients underwent standard cataract surgery. .
Patients with anatomical narrow angles have a decreased working space in the eye. The femtosecond laser has already chopped the nucleus, therefore making it easier for the surgeon to remove the lens. The femtosecond laser also helps decrease the likelihood of radial extension during the capsulorhexis in nanophthalmic eyes.
Femtosecond laser-assisted cataract surgery facilitates an easier procedure in the narrow angle cataract patient. Lensectomy is efficacious for opening narrow angles and increasing anterior chamber depth.