Barcelona 2015 Programme Registration Glaucoma Day 2015 Exhibition Virtual Exhibition Satellite Meetings Hotel Booking Star Alliance

Take a look inside the London 2014 Congress


Then register to join us
in Barcelona!

PCO prevention: primary posterior laser-assisted capsulotomy

Search Abstracts by author or title
(results will display both Free Papers & Poster)

Session Details

Session Title: PCO. Cataract Surgery Complications/Management

Session Date/Time: Tuesday 08/09/2015 | 08:00-10:30

Paper Time: 09:24

Venue: Room 1

First Author: : B.Dick GERMANY

Co Author(s): :    Y. Haeussler-Sinangin   E. Holtmann   T. Schultz              

Abstract Details


Posterior capsule opacification (PCO) is the most frequent long-term complication of modern cataract surgery and leads to significantly reduced visual acuity. We describe surgical results of the new technique to perform a primary posterior laser-assisted capsulotomy (PPLC) after intraocular lens (IOL) implantation to prevent posterior capsule opacification.


Ruhr University Eye Hospital, Bochum, Germany.


After IOL implantation, a thin layer of ophthalmic viscosurgical device (OVD) was injected between the IOL optic and the posterior capsule. After sterile re-docking to the laser system, the IOL-optic, OVD-layer, the posterior capsule and Berger's space was identified using 3D SD OCT. The treatment zone was positioned on the posterior capsule.


The size of the Berger's space was measured in 165 patients after IOL implantation. In 112 (68%) patients the central distance between posterior capsule and anterior hyaloid surface was 400 µm or greater. In these cases a PPLC can be performed as last surgical step without compromising the anterior hyaloid membrane. In a first case series it was possible to perform a PPLC with intact vitreous in 82 % of the cases. A 360° cut was successfully accomplished in all treated cases.


A large Berger's space was detected intraoperatively in a large proportion of patients. The described techniques for PPLC has the potential to prevent and solve posterior capsule opacification in many routine cases.

Financial Interest:

One of the authors gains financially from product or procedure presented

Back to previous