The evolution, indication & outcomes of selective laser capsulotomy protocol in cataract surgeries
First Author: H.Alrabiah SPAIN
Co Author(s): M. Canto J. Alió
To update the surgical protocol of a new method of Selective Laser Capsulotomy (SLC) in order to facilitate an easy use of this technique and to show its indications along with outcomes in variant cataract surgeries
Vissum Miranza, Alicante Spain , Division of Ophthalmology, Miguel Hernandez University.
We recorded 50 eyes from 33 patients (24female-9male) who underwent cataract surgeries. The capsulorrhexis performed by SLC, that operates through absorption of orange wave light 590nm laser energy onto trypan blue0.4% stained capsule, in a deep anterior chamber with visco elastic which creates a strong tear-resistant capsulotomy edge with consistent size and circularity. small pupils were managed by mechanical stretching & intraocular mydriasis The protocol was updated in Jan.2020, to minimize the incidence of bridges with subsequent more free-floating cap such as energy, capsulotomy time, staining, washing, smaller spot size, focusing pattern and patient interface lens.
The incidence of free-floating cap raised up to 100% after modification of the SLC protocol. Such good results was obtained even in small pupils 48.57% of cases and centration was excellent in 80% of cases in different type of cataract 37.14% were hard cataracts
Modifying the Selective Laser Capsulotomy (SLC) protocol and parameters allowed us to reach successfully 100% floating cap in different types of cataract