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Femtosecond laser-assisted cataract surgery (FLACS) in peculiar scenarios

Poster Details

First Author: P.Gireesh INDIA

Co Author(s):    M. Nath   R. Venkatesh   J. Akkara              

Abstract Details


To explore the limits of FLACS in various peculiar clinical scenarios.


Aravind Eye Hospital, Pondicherry


We used FLACS for cataract surgery in the following peculiar scenarios : a patient with Anterior Lenticonus, a patient with Implantable Collamer Lens(ICL) for lens removal and cataract surgery, a traumatic cataract, a white intumescent cataract, a dense cataract. Scanning Electron Microscopy was done for the anterior lenticonus capsule and the white intumescent capsule. the femtosecond laser was followed with the phacoemulsofocation and all post-op visual acuity was UCVA of 6/6


We found that FLACS was safe and possible in these tricky scenarios but there are a few pitfalls. Uncut nucleotomy of the lens chop pattern was present in the ICL patient. Scanning Electron Microscopy of White Cataract capsule showed uncut areas. the dense cataract removed had a less phaco time, with new technique - doughnut chop to remove the fragmented nucleus with phaco


FLACS is a promising technology for peculiar scenarios in cataract surgery in addition regular cataract.

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