Cataract Formation After Femto-Laser Assisted Corneal Partial Trepanatio

To evaluate the possibility of the femtolaser energy to induce pathological changes in the natural lens. Evaluate the outcome of the and potential risk of cataract surgery, that induced by laser energy.

Surgery and all others examinations were performed in the private practice. Location Riga, Latvia

Introduction: Femtosecond laser assisted keratoplasty as a potential risk for early onset of cataract development.

Patient and clinical findings: A patient, who inadvertently underwent partial corneal trepanation with a femtosecond laser during conventional refractive femto-LASIK procedure, developed a capsular cataract after 8 years.

Diagnosis, Interventions and outcomes: To treat cataract, femto-laser assisted cataract surgery, with EDOF (Alcon Vivity) IOL implantation was performed, helping to achieve patient an uncorrected distance visual acuity of 20/25 LogMAR 0.1, UNIVA (uncorrected intermediate visual acuity) 80cm 20/25 LogMAR 0.1,UNNVA (uncorrected near visual acuity) 40cm 20/50 LogMAR 0.4

Conclusion: Taking into account patient medical history, no trauma, no interventions and no inflammation in the right eye, only falsely, partly executed keratoplasty procedure. Knowing laser energy distribution during corneal trepanation procedure. We suggest laser energy could potentially induce cataract formation in the young patient.

Take home message: Althogh it is well known that femtosecond laser assisted keratoplasty is safe and effective surgery to regain vision for a patient with corneal pathology. Little is known about femtosecond laser energy distribution in the anterior chamber of the eye. This clinical case may give rise to a discussion about how laser energy influence pathological changes in the natural lens of the patients