Femtosecond laser-assisted posterior capsulotomy for the treatment of capsular block syndrome

Autor: Xian Hui Lim, Moushmi Patil, Jodhbir S Mehta
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Taiwan Journal of Ophthalmology, Vol 13, Iss 3, Pp 371-375 (2023)
Druh dokumentu: article
ISSN: 2211-5056
2211-5072
DOI: 10.4103/tjo.TJO-D-23-00042
Popis: We present a novel use of femtosecond laser to treat capsular block syndrome (CBS) in a patient with dense opaque capsular block, who presented 16 years postcataract surgery. The extensive posterior capsular distension and densely opaque, milky fluid trapped behind the intraocular lens (IOL) prevented the use of neodymium-doped yttrium aluminum garnet (Nd: YAG) laser posterior capsulotomy as primary treatment. Intra-operative optical coherence tomography enabled visualization of the posterior capsule and iris hooks were used to increase the pupillary diameter to enable femtosecond laser-assisted posterior capsulotomy to be performed in a minimally invasive technique. CBS was relieved successfully and Nd: YAG laser performed subsequently to remove residual posterior capsule opacification safely and with good visual outcomes. This method avoids risks associated with posterior vitrectomies and compromised IOL stability from inadvertent capsular bag damage, and adds to the expanding uses of femtosecond laser technology.
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