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The importance of capsulotomy on effective lens position and patient outcomes

Poster Details

First Author: H.Uy PHILIPPINES

Co Author(s):                  

Abstract Details


Laser anterior capsulotomy utilizes a femtosecond laser to create consistently sized and shaped anterior capsule openings during laser-assisted cataract surgery (LCS). The purpose of this paper is to investigate whether LAC can improve the predictability of refractive outcomes of eyes that underwent LCS.


Asian Eye Institute


Two-hundred forty-nine eyes underwent laser anterior capsulotomy using a femtosecond laser (LensAR, Orland, FL, USA) while 123 eyes underwent manual capsulorrhexis. One eye underwent laser capsulotomy while the other underwent conventional manual capsulorrhexis. All surgeries were undertaken by a single surgeon who implanted a single monofocal IOL type. At six months after surgery, the deviation of the achieved MRSE from the target was assessed and compared between the groups.


The mean (SD) absolute deviation from intended MRSE was 0.42 (0.39) for the laser anterior capsulotomy group compared to 0.59 (0.35) in the manual group (p<0.001). Among laser treated eyes, 11.6% obtained an outcome within 0.12D of intended refractive target compared with 4.1% of eyes that underwent manual capsulorrhexis. Among laser treated eyes, 47.4% were within 0.25 D of intended refractive target compared to 22.0% of eyes that underwent manual capsulorrhexis


Laser anterior capsulotomy improves the predictability of refractive outcomes with significantly more eyes achieving refractive targets compared. FINANCIAL DISCLOSURE?: No

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