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Femtosecond laser-assisted cataract surgery in intumescent (including white) cataracts

Poster Details

First Author: S.Nimmagadda INDIA

Co Author(s):    P. Kasu   N. Narayen   S. MS              

Abstract Details


To evaluate the safety, predictability of femtosecond laser-assisted capsulotomy in intumescent (including white) cataracts.


Maxivision Eye Hospital, Hyderabad, India


This was a retrospective study in which intumescent cataracts done on Victus femtosecond laser platform from Technolas Bauch&Lomb were evaluated. All patients had pre-operative anterior chamber depth less than 3mm. A central 5mm capsulotomy planned but not the nuclear fragmentation on femtosecond laser platform..Phacoemulsification was completed on stellaris from Bauch&Lomb followed by foldable iol (multifocal and monofocal iols) implantation.


12 eyes of 11 patients were included. There were 8 males and 3 females. The mean age of the patients was 54.83 years (+/-6.08) The mean preoperative AC depth was 2.19 mm (+/-0.48mm, range from 1.6 to 2.94mm) .A complete capsulotomy cut was achieved in all the cases except in one eye where a very small ridge remained and this was completed with cystitome. Trypan blue was injected to check the capsulotomy cut. Phacoemulsification was uneventful in all the cases .All the cases were reviewed on one day one week and one month postoperatively.


Femtosecond laser cataract technology offers a technical advantage in these cases where manual capsulorrhexis can be challenge to even the most experienced surgeons. The femtosecond laser anterior capsulotomy successfully created in all the cases without any complications and avoiding risks of a manual capsulorrhexis and improving the safety and outcome.

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