Hydrodissection And Flacs In Posterior Polar Cataract
Published 2025 - 43rd Congress of the ESCRS
Reference: PO271 | Type: Free paper | DOI: 10.82333/qypy-dq42
Authors: Yu-Chi Liu* 1 , Mingyi Yu 2 , Chang Liu 2 , Jodhbir Mehta 1
1Singapore National Eye Centre,Singapore,Singapore, 2Singapore Eye Research Institute,Singapore,Singapore
Purpose
To report our clinical experience in performing cataract surgery in eyes with posterior polar cataract, and specifically using femtosecond laser-assisted cataract surgery (FLACS) and hydrodissection.
Setting
EIn Tal Eye Center Tel Aviv and the Meir Medical Center Kfar-Saba,
Methods
Medical records of consecutive patients with clinical diagnosis of PPC, were retrospectively reviewed. The first subset of 10 patients were done by manual ACCC and phacoemulsification whereas a second set of 10 patients was done by using FLACS. In all cases careful hydrodissection was done to separate the lens material from the posterior capsule.
Results
In all cases the posterior capsule remained intact during nucleus removal. In one eye of each group the posterior capsule broke during cortical cleaning and the tear was converted to small posterior capsulorhexis (PCCC). PC-IOLs were implanted within the capsular bags and no postoperative complications were recorded during follow-up in all eyes.
Conclusions
Hydrodissection is more gentile to the capsule than any other surgical maneuver and can be safely performed in eyes with posterior polar cataract with no evidence of a preexisting posterior capsule rent. Femtosecond laser capsulotomy and lens fragmentation may further assist surgery in these cases.