Posters

Femtosecond laser-assisted cataract surgery (FLACS) in peculiar scenarios

Poster Details

First Author: P.Gireesh INDIA

Co Author(s):    M. Nath   R. Venkatesh   J. Akkara              

Abstract Details

Purpose:

To explore the limits of FLACS in various peculiar clinical scenarios.

Setting:

Aravind Eye Hospital, Pondicherry

Methods:

We used FLACS for cataract surgery in the following peculiar scenarios : a patient with Anterior Lenticonus, a patient with Implantable Collamer Lens(ICL) for lens removal and cataract surgery, a traumatic cataract, a white intumescent cataract, a dense cataract. Scanning Electron Microscopy was done for the anterior lenticonus capsule and the white intumescent capsule. the femtosecond laser was followed with the phacoemulsofocation and all post-op visual acuity was UCVA of 6/6

Results:

We found that FLACS was safe and possible in these tricky scenarios but there are a few pitfalls. Uncut nucleotomy of the lens chop pattern was present in the ICL patient. Scanning Electron Microscopy of White Cataract capsule showed uncut areas. the dense cataract removed had a less phaco time, with new technique - doughnut chop to remove the fragmented nucleus with phaco

Conclusions:

FLACS is a promising technology for peculiar scenarios in cataract surgery in addition regular cataract.

Financial Disclosure:

None