The importance of capsulotomy on effective lens position and patient outcomes

Poster Details

First Author: H.Uy PHILIPPINES

Co Author(s):                  

Abstract Details

Purpose:

Laser anterior capsulotomy utilizes a femtosecond laser to create consistently sized and shaped anterior capsule openings during laser-assisted cataract surgery (LCS). The purpose of this paper is to investigate whether LAC can improve the predictability of refractive outcomes of eyes that underwent LCS.

Setting:

Asian Eye Institute

Methods:

Two-hundred forty-nine eyes underwent laser anterior capsulotomy using a femtosecond laser (LensAR, Orland, FL, USA) while 123 eyes underwent manual capsulorrhexis. One eye underwent laser capsulotomy while the other underwent conventional manual capsulorrhexis. All surgeries were undertaken by a single surgeon who implanted a single monofocal IOL type. At six months after surgery, the deviation of the achieved MRSE from the target was assessed and compared between the groups.

Results:

The mean (SD) absolute deviation from intended MRSE was 0.42 (0.39) for the laser anterior capsulotomy group compared to 0.59 (0.35) in the manual group (p<0.001). Among laser treated eyes, 11.6% obtained an outcome within 0.12D of intended refractive target compared with 4.1% of eyes that underwent manual capsulorrhexis. Among laser treated eyes, 47.4% were within 0.25 D of intended refractive target compared to 22.0% of eyes that underwent manual capsulorrhexis

Conclusions:

Laser anterior capsulotomy improves the predictability of refractive outcomes with significantly more eyes achieving refractive targets compared. FINANCIAL DISCLOSURE?: No