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Femtosecond laser-assisted pseudophakic capsulotomy: a safe and successful method to treat anterior capsular contraction syndrome
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First Author: L.van Gorcom THE NETHERLANDS
Co Author(s): R. Nuijts
Abstract Details
Purpose:
To assess the postoperative outcomes of femtosecond laser-assisted pseudophakic capsulotomy in patients with anterior capsular contraction syndrome (ACCS)
Setting:
University Eye Clinic Maastricht, Maastricht, the Netherlands.
Methods:
Seven patients developing anterior capsule phimosis after cataract extraction were analyzed retrospectively. All patients received treatment for ACCS with femtosecond laser-assisted pseudophakic capsulotomy. We collected patient characteristics, pre- and postoperative corrected distance visual acuity (CDVA), patient satisfaction and adverse events from the patient files.
Results:
Median age (range) was 65 (39 – 83) years. Comorbidities included myotonic dystrophy type 1, type 2 diabetes mellitus, vitreoretinal surgery for retinal detachment and an anterior uveitis after cataract extraction. All patients showed an improvement in CDVA with on average 5.4 Snellen lines of visual acuity gain, the degree depending on ocular comorbidity. In 3 (43%) patients the lasereffects were seen in the anterior lens surface, without postoperative patient complaints (eg. glare and/or halos). In 5 (71%) patients laser cut was incomplete and had to be completed manually. All patients were satisfied after treatment.
Conclusions:
Femtosecond laser-assisted pseudophakic capsulotomy appeared to be a safe and successful method to treat ACCS in this case series. The majority of capsulotomies had to be completed manually. Cuts in the anterior lens surface did not result in optical complaints. No postoperative complications including IOP spikes or increased inflammation occurred.
Financial Disclosure:
... receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented
