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Management of bilateral lens subluxation using femtosecond laser-assisted cataract surgery (FLACS)

Poster Details

First Author: J.Cezon SPAIN

Co Author(s):                        

Abstract Details

Purpose:

To describe a surgical case report of bilateral lens subluxation.

Setting:

Private practice Clinic in Sevilla, Spain. Surgical case report of a patient with high myopia and bilateral lens subluxation.

Methods:

We describe a case report of bilateral iridodonesis and subluxated cataract operated with FLACS. The information collected included patient demographics, preoperative and postoperative uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA) refractive error, biomicroscopy, corneal topography, Optical Coherence Tomography (OCT), Ultrasonic Biomicroscopy (UBM), nuclear density, extent of zonular weakness, completeness of capsulotomy and incidence of complications.

Results:

A 64 years old patient had bilateral PRK 41 years ago. Her right eye was amblyopic. On the first visit the patient was diagnosed bilateral cataract and iridodonesis. Her best corrected visual acuity (BCVA) was hand movements in Right Eye (RE) and 0.5 in Left Eye (LE). She underwent sequential separated FLACS. The patient had bilateral lens subluxation confirmed intraoperatively. A tension ring and an intraocular monofocal lens (IOL) was placed in both eyes. Surgery was completed without complications. Her final uncorrected visual acuity (UCVA) was 0.1 in RE and 0.7 in LE.

Conclusions:

FLACS is an excellent technique for the management of a lens subluxation. Capsulotomy is customized in order to avoid zonular stress and the capsular bag is preserved. Nuclear fragmentation is facilitated, reducing the ultrasound time. IOL is well centered in the capsular bag.

Financial Disclosure:

NONE

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