Posters

The evolution, indication & outcomes of selective laser capsulotomy protocol in cataract surgeries

Poster Details

First Author: H.Alrabiah SPAIN

Co Author(s):    M. Canto   J. Alió                 

Abstract Details

Purpose:

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

Setting:

Vissum Miranza, Alicante Spain , Division of Ophthalmology, Miguel Hernandez University.

Methods:

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.

Results:

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

Conclusions:

Modifying the Selective Laser Capsulotomy (SLC) protocol and parameters allowed us to reach successfully 100% floating cap in different types of cataract

Financial Disclosure:

None