Posters
Optimization technique of creating the anterior circular capsulorhexis in anterior capsular fibrosis
Poster Details
First Author: S.Nikolashin RUSSIA
Co Author(s): O. Fabrikantov E. Pirogova
Abstract Details
Purpose:
To optimize the technique of creating the anterior circular capsulorhexis in anterior capsular fibrosis based on the combined femtolaser-assisted and manual intervention.
Setting:
The S. Fyodorov Eye Microsurgery Federal State Institution, Tambov Branch
Methods:
Group I included 12 cases of creating anterior circular capsulorhexis using femtolaser-assisted manual dissection of the fibrotic part of the capsule. Group II included 11 patients with manual anterior capsulorhexis created in anterior capsular fibrosis.
Technique. In group I we performed the femtolaser-assisted circular dissection of the anterior capsule not affected by fibrosis. The fibrotic part of the capsule was cut with collet scissors. In group II we performed manual capsulorhexis with the possible use of collet scissors.
Results:
In one patient (8.3%) of group I the anterior capsulorhexis ran towards the periphery. Phacoemulsification was performed without any complications. In group II the anterior capsule rupture towards the periphery occurred in five (45.5%) patients. Out of them, in three (27.3%) cases the posterior capsule was not affected, in two (18.2%) cases the posterior capsule rupture and vitreous loss were observed.
Conclusions:
1. When creating the anterior capsulorhexis in anterior capsule fibrosis, the capsulorhexis diameter and its location are defined so that the femtosecond laser incision zone passes over the intact anterior capsule.
2. The femtosecond laser allows performing the incision of the intact anterior capsule and mobilizing it to dissect the fibrotic part with scissors.
3. Opening the anterior capsule with scissors in fibrotic area does not produce striae running towards the posterior capsule due to the increased strength of the anterior capsule in this area.
Financial Disclosure:
None
