Femtosecond Laser-assisted Cataract Surgery in Patients With Marfan Syndrome and Subluxated Lens

Crema, Armando Stefano; Walsh, Aileen; Yamane, Iris; Ventura, Bruna Vieira; Santhiago, Marcony R.

doi:10.3928/1081597x-20150424-02

Cited by 32 publications

(25 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…What's more, FLACS can be tried in complex cases such as Marfan's syndrome and paediatric cataract (Abouzeid & Ferrini ; Crema et al. ; Dick et al. ).…”

Section: Discussionmentioning

confidence: 99%

Safety of femtosecond laser‐assisted cataract surgery: assessment of aqueous humour and lens capsule

Chen

Wang

et al. 2016

Acta Ophthalmologica

View full text Add to dashboard Cite

show abstract

“…What's more, FLACS can be tried in complex cases such as Marfan's syndrome and paediatric cataract (Abouzeid & Ferrini ; Crema et al. ; Dick et al. ).…”

Section: Discussionmentioning

confidence: 99%

Safety of femtosecond laser‐assisted cataract surgery: assessment of aqueous humour and lens capsule

Chen

Wang

et al. 2016

Acta Ophthalmologica

View full text Add to dashboard Cite

show abstract

“… 2 Another benefit is that the capsulotomy can be created with minimal traction or manipulation to the anterior capsule, thus reducing further damage to the already weakened zonules. 3 , 4 In the event that unwanted air bubbles form in the capsular bag during use of the laser, viscoelastic injection and gentle hydrodissection allows the bubbles to safely leak out from the capsular bag and the anterior chamber.…”

Section: Discussionmentioning

confidence: 99%

“… 2 Reported benefits include a reduction in intraocular manipulation and less traction on the already compromised zonules. 3 , 4 We report the use of FLACS for eyes with zonulopathy in the setting of spherophakia and Marfan's syndrome.…”

Section: Introductionmentioning

confidence: 99%

Femtosecond laser-assisted cataract surgery in patients with zonular weakness

Dryjski

Awidi

Daoud

2019

American Journal of Ophthalmology Case Reports

View full text Add to dashboard Cite

Purpose To present the clinical value of femtosecond laser assisted cataract surgery (FLACS) in eyes with compromised zonules. Observations We present two cases of femtosecond laser assisted cataract surgery (FLACS) in eyes with compromised zonules. Three eyes from two patients with zonular weakness and cataract underwent FLACS (Alcon LenSx Lasers Inc., Aliso Viejo, CA). One patient underwent bilateral FLACS in the setting of spherophakia with zonular weakness. The other patient had Marfan's syndrome with associated ectopia lentis. Laser assisted capsulotomy was achieved in all eyes. One eye had vitreous prolapse during surgery and required an iris-sutured lens. All eyes had a postoperative corrected distance visual acuity of 20/25 or better. Conclusions and Importance FLACS is a safe and effective alternative to conventional phacoemulsification cataract surgery in patients with zonular weakness.

show abstract

“…Yet another technique described for surgical management of ectopia lentis is femtosecond laser assisted cataract surgery with preservation of capsular bag and in the bag implantation of IOL. 15,16 However, this technique of lens extraction was carried out in adults and no reports of its use in pediatric age group is available. Further, the femtosecond laser suite is generally situated away from the main operating room where the facilities for general anesthesia may not be present.…”

Section: Discussionmentioning

confidence: 99%

Modified technique of endocapsular lens aspiration for severely subluxated lenses

Khokhar

Aron

Yadav

et al. 2017

Eye

View full text Add to dashboard Cite

PurposeSeverely subluxated crystalline lenses pose a difficult situation to anterior segment surgeons and can only be managed surgically by removal of the lens as well as the capsular bag. Several techniques have been described in literature for the management of such cases. We describe a modified technique of endocapsular lens aspiration by the limbal route for lens extraction through small incisions on the cornea.Patients and methodsThirty-two eyes of 16 consecutive patients with severely subluxated crystalline lenses were recruited in the study. All eyes underwent a modified technique of lens aspiration within the capsular bag using a single instrument, vitrectomy cutter, and irrigation cannula, followed by sacrificing of the capsular bag. The patients were either left aphakic or implanted with an open loop anterior chamber intraocular lens (ACIOL Kelman Multiflex) and prospectively followed up for a period of 3 months.ResultsThe mean age of the patients was 9 years 3 months±3 years (range 5-15 yrs). All eyes underwent complete lens aspiration within the capsular bag with no dislocation of the lens matter. ACIOL was inserted in 22 eyes (68.7%) and 10 eyes (31.2%) were left aphakic. All the surgeries were uneventful. The mean best corrected visual acuity (BCVA) at 3 months post surgery was 0.47±0.11 logMAR which was significantly better than pre-operative BCVA (P=0.001). The percentage endothelial cell loss at 3 months was 7.1%. There was no evidence of glaucoma, corneal decompensation, or retinal detachment. The astigmatism which increased from 1.45D±086 preoperatively to 3.76D±2.02 1 week post-operatively due to sutures reduced to 1.97D±0.81 post suture removal at 3 months.ConclusionThe modified technique of endocapsular lens aspiration proves to be a simple and effective method of removal of the lens-capsular bag complex in severely subluxated lenses.

show abstract

Femtosecond Laser-assisted Cataract Surgery in Patients With Marfan Syndrome and Subluxated Lens

Cited by 32 publications

References 10 publications

Safety of femtosecond laser‐assisted cataract surgery: assessment of aqueous humour and lens capsule

Safety of femtosecond laser‐assisted cataract surgery: assessment of aqueous humour and lens capsule

Femtosecond laser-assisted cataract surgery in patients with zonular weakness

Modified technique of endocapsular lens aspiration for severely subluxated lenses

Contact Info

Product

Resources

About