Femtosecond laser-assisted cataract surgery (FLACS) in angle-closure glaucoma

Session Details

Session Title: Presented Poster Session: FLACS

Venue: Poster Village: Pod 1

First Author: : S.Hong SOUTH KOREA

Co Author(s): :                           

Abstract Details

Purpose:

To assess the safety and efficacy of femtosecond laser-assisted cataract surgery (FLACS) in eyes with angle-closure glaucoma.

Setting:

Hong Samin Yonsei Eye Clinic, Seoul, Republic of Korea.

Methods:

Clinical records of 96 consecutive eyes of angle-closure glaucoma patients who underwent FLACS using four femtosecond lasers (FEMTO LDV Z8, Ziemer; LenSx, Alcon; Catalys Precision Laser System, Johnson&Johnson; LensAR, LensAR) and a phaco machine (Centurion Vision System, Alcon) were reviewed. For each laser platform, the completion rates of anterior capsulotomy, the incidence of posterior capsule rupture, the number of attempts to achieve secure docking between the cornea and laser system were recorded. Uncorrected and best-corrected visual acuity (UCVA and BCVA), intraocular pressure (IOP), corneal endothelial cell counts, and anterior chamber depth (ACD) were evaluated up to 1 month postoperatively.

Results:

The anterior capsulotomy was successfully completed in 95 eyes (98.96%) and the posterior lens capsule only ruptured in 2 eyes (2.08%). Difficulties in docking between the cornea and laser system were experienced due to narrow palpebral spaces in 8 eyes (8.33%), but no canthotomy was required for any of the eyes (0.00%). After FLACS, the IOPs were significantly reduced and ACD became deeper. Corneal endothelial cell counts were preserved. In addition, postoperative UCVA and BCVA were favorable.

Conclusions:

FLACS was safe and effective even in eyes with angle-closure glaucoma. Further improvements in docking are required for small eyes with narrow palpebral spaces which is a frequent characteristic of eyes with angle-closure glaucoma.

Financial Disclosure:

None