Femtosecond Laser-Assisted Cataract in Vitreoretinal Surgery

Rizzo, Stanislao; Bacherini, Daniela; Faraldi, Francesco; Pellegrini, Marco; Mariotti, Cesare

doi:10.5301/ejo.5000986

Cited by 4 publications

(2 citation statements)

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“…e authors stated that despite the use of intraocular gas or air tamponade in patients diagnosed with macular pathologies, IOL subluxation or posterior capsule opacification occurred in none of the patients. Furthermore, the toric IOL implantation was performed in 4 of the patients and IOL rotation was unremarkable (1.64 ± 0.28 degrees) 3 months postoperatively [17]. However, there is still limited literature data available concerning the benefits and disadvantages of FLACS with 27-gauge vitrectomy.…”

Section: Discussionmentioning

confidence: 99%

Combined Femtosecond Laser-Assisted Cataract Surgery and 27-Gauge Transconjunctival Sutureless Vitrectomy

Yılmaz

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Yıldız

2020

Journal of Ophthalmology

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Purpose. To report the outcomes of combined surgery using femtosecond laser-assisted cataract surgery (FLACS) and sutureless 27-gauge pars plana vitrectomy with intravitreal tamponade. Methods. This retrospective clinical study involved 23 eyes of 23 patients on whom combined vitreoretinal surgery was performed. Patients were initially given the femtosecond laser treatment that was performed after selection of capsulotomy and lens fragmentation patterns. The capsulotomy diameter was chosen as 4.9 mm in all patients. After the femtosecond laser, the sutureless phacovitrectomy procedure was performed. At the end of surgery, perfluoropropane or sterile air tamponade was applied. Results. The mean age of patients was 66.43 ± 7.61 (range, 54–83) years. Fifteen patients were females (65.2%). The mean follow-up was 16.09 ± 4.71 (range, 9–25) months. The most common surgical indication was epiretinal membrane (65.3%). The mean preoperative best-corrected visual acuity (BCVA) was 0.71 ± 0.44 (range, 1.7–0.3) logMAR, and the mean postoperative BCVA at 6 months was 0.16 ± 0.14 (range, 0.4–0) logMAR p<0.001. The mean target sphere refractive error was −0.24 ± 0.16 (range, −0.50–0.11) D, and the mean postoperative spherical equivalent refractive error was −0.14 ± 0.39 (range, −1.00–0.50) D at 6 months p=0.196. All intraocular lenses (IOLs) remained well centered in the capsular bag during surgery and follow-up. There was no iris capture, posterior synechiae, capsular opacification, or pseudophakic cystoid macular edema. The only complication related to femtosecond laser was two cases of subconjunctival haemorrhage related with suction. Conclusions. FLACS is a safe and effective technique providing the advantage of repeatable, precise capsulorhexis shape and size to achieve a well-centered and stable IOL postoperatively. These advantages can certainly improve the results of vitrectomy, especially in gas-filled eyes. FLACS and 27-gauge sutureless combined surgery may be a future trend in appropriate cases.

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Section: Discussionmentioning

confidence: 99%

Combined Femtosecond Laser-Assisted Cataract Surgery and 27-Gauge Transconjunctival Sutureless Vitrectomy

Yılmaz

Avcı

Yıldız

2020

Journal of Ophthalmology

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“…Moreover, with the increased use of premium IOLs (e.g. toric IOLs) even in patients with VRI disorders, the post-operative refraction has become crucial [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Swept-source OCT reduces the risk of axial length measurement errors in eyes with cataract and epiretinal membranes

et al. 2021

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Aims To compare the biometric data from partial coherence interferometry (PCI) and swept-source OCT (SS-OCT) in patients with age-related cataract and epiretinal membrane (ERM): ERM, ERM with foveoschisis and macular pseudohole. Methods 49 eyes of 49 subjects including 36 ERM, 9 ERM foveoschisis and 4 macular pseudohole were analysed to evaluate the axial length (AL) measurements and the presence of AL measurement errors, defined basing on the shape of the biometric output graphs and on the concordance of AL values between instruments. Eyes with ERM were divided in four stages according to OCT features (i.e. presence/absence of the foveal pit, presence of ectopic inner foveal layers, disrupted retinal layers). Results The devices provided similar mean AL measurements in all subgroups, with differences <0.1 mm in 41/49 cases (83.6%). AL measurement errors were observed in ERM stages 3 and 4, characterized by ectopic inner foveal layers, and were significantly more frequent with the PCI (8/17, 47%) as compared with the SS-OCT device (2/17, 12%), p = 0.02. The refractive prediction error in cases with AL measurement errors was significantly greater using the PCI compared to the SS-OCT device (p<0.05). Conclusion Both devices provide reliable biometric data in the majority of patients and can be used in the preoperative assessment of patients with age-related cataract and ERM. In eyes with ectopic inner foveal layers, attention should be paid as AL measurement and refractive prediction errors may occur, more frequently with the PCI device.

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Femto-Cataract Surgery

Dick

Gerste

2022

Albert and Jakobiec's Principles and Practice of Ophthalmology

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Femtosecond Laser-Assisted Cataract in Vitreoretinal Surgery

Cited by 4 publications

References 12 publications

Combined Femtosecond Laser-Assisted Cataract Surgery and 27-Gauge Transconjunctival Sutureless Vitrectomy

Combined Femtosecond Laser-Assisted Cataract Surgery and 27-Gauge Transconjunctival Sutureless Vitrectomy

Swept-source OCT reduces the risk of axial length measurement errors in eyes with cataract and epiretinal membranes

Femto-Cataract Surgery

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