First Experience With Capsulaser For Posterior Capsulorhexis In Pediatric Cataract Management

To evaluate the efficacy and safety of using the Capsulaser system for posterior capsulorhexis in pediatric cataract surgery, demonstrating its potential as an innovative tool for enhanced precision and outcomes in young patients

magrabi eye hospital jeddah ksa

This prospective pilot study included  9 eyes) with visually significant pediatric  cataracts undergoing cataract surgery. The Capsulaser system created a precise posterior capsulorhexis after anterior capsulotomy and lens aspiration. Key metrics included procedural feasibility, surgical time, capsulorhexis precision, and intraoperative and postoperative complications. Postoperative outcomes were assessed over a follow-up period of 6 months, focusing on posterior capsule clarity, visual rehabilitation, and incidence of secondary opacification.

The Capsulaser system successfully created well-centered and consistently sized posterior capsulorhexes in all cases, achieving excellent precision without mechanical manipulation. Average surgical time for the posterior capsulorhexis was significantly reduced compared to manual techniques. No significant intraoperative complications, such as capsular tears or vitreous loss, were observed. Postoperatively, all patients exhibited clear posterior capsules, . Visual outcomes were significantly improved, and there were no laser-related complications during follow-up.

The Capsulaser system introduces a novel, efficient, and precise method for performing posterior capsulorhexis in pediatric cataract surgery. This technique enhances surgical safety, minimizes complications, and reduces the likelihood of posterior capsule opacification, offering a transformative tool for managing pediatric cataracts. Further studies with larger sample sizes are warranted to validate these findings and establish long-term benefits