A mobile high-frequency low energy femtosecond laser for pediatric cataract surgery

Session Details

Session Title: Femtolaser-Assisted Cataract Surgery (FLACS) II

Session Date/Time: Monday 09/10/2017 | 08:30-10:30

Paper Time: 08:30

Venue: Room 4.4

First Author: : S.Fung CANADA

Co Author(s): :    J. Brookes   M. Wilkins   G. Adams              

Abstract Details

Purpose:

To describe the use of a new mobile, high-frequency, low-energy femtosecond laser platform in performing cataract surgery in 2 children with familial congenital cataracts.

Setting:

Prospective case series in Moorfields Eye Hospital, London

Methods:

After receiving ethics committee approval, 2 children with bilateral cataracts were recruited. Procedures were performed in a normal operating room without any adaptations. The femtosecond laser was wheeled in and set up one hour prior to the first case. After general anaesthesia was induced, the eye was prepped and draped in the routine sterile manner. The laser was manoeuvred and docked to the eye with a liquid-filled interface. Laser anterior capsulotomy was made, followed by lens aspiration and intraocular lens insertion. Pre- and post-operative corrected distance visual acuity (CDVA) and incidence of any complications were collected.

Results:

Median pre-operative CDVA was 0.47 (range 0.44 – 0.64) LogMAR. All 4 eyes had uncomplicated surgery. Laser docking was successful without the need of canthotomy. Laser anterior capsulotomies were free-floating in all cases, with no evidence of tags or tears. At 3 month post-surgery, median CDVA was 0.13 (0.04 – 0.28) LogMAR. In all cases, intraocular lens was centered and the edge of the optic was covered all round by the circular capsulotomy.

Conclusions:

This mobile, high-frequency low-energy femtosecond laser platform can be used in children with minimal alternation to routine surgical flow. Its ability in creating circular anterior capsulotomy removes one of the major obstacles in pediatric cataract surgery, thus its use may improve the quality and consistency of this procedure in the future.

Financial Disclosure:

NONE