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Feasibility and safety of femto flap attachment technique for endothelial protection in eyes with dense cataracts undergoing FLACS
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First Author: S.Sute INDIA
Co Author(s): S. Ganesh S. Brar M. Gautam
Abstract Details
Purpose:
To report the feasibility and safety of femto flap attachment technique for endothelial protection in eyes with dense cataracts undergoing FLACS.
Setting:
Nethradhama Super Speciality Eye Hospital, Bangalore, India
Methods:
Thirty eyes with LOCS grade 4 nuclear sclerosis or above undergoing femto-assisted cataract surgery, were subjected to Femto flap attachment, wherein the free floating femto capsulotomy disc was deliberately floated up using a cohesive OVD, in order to attach it beneath the central endothelium. Phacoemulsification was carried out under this flap. A 4 quadrant template without softening was employed for nucleotomy. All procedures were uneventful. The flap was removed at the end of the IOL implantation using coaxial I/A. These 30 eyes were compared with another 30 eyes with same grade of cataract undergoing FLACS only.
Results:
The corneas had better clarity in the femto flap attachment group compared to only femto group at day 1 post-op. The pre-op endothelial counts (ECD )was matched between the two groups(p=0.98). However, the endothelial counts at 6 months post op showed significantly higher endothelial cell loss in the FLACS only group(231298 cells/mm2) compared to the eyes with femto flap attachment group ( 2478 78 cells/mm2), p=0.04. All eyes in both groups had clear corneas and endothelial morphology at 6 months.
Conclusions:
Femto flap attachment was found to be safe and resulted in comparatively lesser endothelial cell loss at 6 months. However, longer follow ups are required to study the long term effect on endothelial health using this technique.
Financial Disclosure:
... receives consulting fees, retainer, or contract payments from a competing company
