Is It Time To Say Bye Of Peripheral Extension Of Capsulorrhexis Of Intumescent Cataract.
Published 2025 - 43rd Congress of the ESCRS
Reference: PP05.02 | Type: Free paper | DOI: 10.82333/285s-xt17
Authors: Ahmed Samir* 1 , Tasnim Samir 2
1ophthalmology,magrabi eye hospital,jeddah,Saudi Arabia, 2ophthalmology,Ibn Sina National College For Medical Studies,jeddah,Saudi Arabia
Purpose
To evaluate and assess the safety, efficacy, and reproducibility of laser-assisted cataract surgery in achieving a well-centered, continuous curvilinear capsulorrhexis and preventing peripheral extensions of the capsulorrhexis in patients with intumescent cataracts.
Setting
Magrabi Eye and Ear Hospitals and Centres
Jeddah,Makkah, Saudi Arabia.
Methods
A total of 17 cases of mature white cataracts were subjected to preoperative evaluation using anterior segment optical coherence tomography (AS-OCT) to confirm the diagnosis of intumescent cataract, characterized by the presence of varying degrees of liquefied cortex. Subsequently, these cases underwent cataract surgery via phacoemulsification assisted by selective laser capsulotomy, employing the Capsulaser machine mounted to the microscope to create a precisely sized and centered continuous curvilinear capsulorrhexis.
Results
All cases underwent successful surgery, with a well-centered, well-sized (5.3mm) continuous curvilinear capsulorrhexis (CCC) achieved without extensions, facilitated by selective laser capsulotomy.
No intraoperative or postoperative complications were reported in any of the cases.
Visual acuity significantly improved in all cases, from hand motion to 20/30 or better.
The well-centered intraocular lens (IOL) optic was completely covered by the 360-degree overlapping capsulorrhexis, with a clear cornea and no post-operative complications.
Intraocular pressure (IOP) remained normal in all cases.
Conclusions
The use of the Capsulaser selective laser capsulotomy in creating the capsulorrhexis of intumescent cataract is a highly effective and safe technique, resulting in successful surgery with a well-centered, well-sized continuous curvilinear capsulorrhexis in all cases, without any extensions or complications.
Demonstrate a high degree of precision, with the well-centered intraocular lens optic completely covered by the 360-degree overlapping capsulorrhexis, and absence of post-operative complications.
Use of Capsulaser selective laser capsulotomy in creating the capsulorrhexis of intumescent cataract is a reliable and effective technique, resulting in excellent surgical, visual, anatomic, and pressure outcomes, with no reported complications.