Mobile femtosecond laser platform for pediatric cataract surgery

2017 ◽  
Vol 28 (2) ◽  
pp. 246-250 ◽  
Author(s):  
Simon S.M. Fung ◽  
John Brookes ◽  
Mark R. Wilkins ◽  
Gillian G.W. Adams
Keyword(s):  
Femtosecond Laser ◽  
Cataract Surgery ◽  
Intraoperative Complications ◽  
Cataract Extraction ◽  
Pediatric Cataract ◽  
Corrected Visual Acuity ◽  
Pediatric Cataract Surgery ◽  
Anterior Capsulotomy ◽  
Paediatric Cataract

Purpose: To describe the use of a mobile femtosecond laser platform in assisting paediatric cataract surgery. Methods: A mobile femtosecond laser was brought into the operating room and calibrated on the day of the surgery. After general anesthesia is induced, the femtosecond laser was docked onto the eyes with a liquid-filled interface, without any perioperative adaptations or additional surgical procedures. An anterior capsulotomy was created with the femtosecond laser, followed by conventional cataract extraction and intraocular lens implantation. Results: Five eyes of 3 children with congenital cataracts were treated with this technique. Docking and capsulorhexis were successful in all cases. No perioperative or intraoperative complications were noted in any of the cases. At median follow-up of 15 months (range 6-18 months), all patients had improved best-corrected visual acuity. Conclusions: Using the mobile femtosecond laser platform, a perfectly sized anterior capsulotomy could be created with high precision and accuracy in paediatric cataract cases, while ensuring that perioperative care for the children undergoing the procedure was not compromised.

scholarly journals Postoperative follow up Challenge in Paediatric Cataract Surgery in Nepal

2011 ◽  
Vol 31 (3) ◽  
pp. 198-201 ◽  
Author(s):  
UD Shrestha
Keyword(s):  
Cataract Surgery ◽  
Care Service ◽  
Pediatric Cataract ◽  
Main Challenge ◽  
Visual Status ◽  
Paediatric Age ◽  
Pediatric Cataract Surgery ◽  
Paediatric Ophthalmology ◽  
Paediatric Cataract

Introduction: Paediatric ophthalmology is a branch of specialty care for the health of the eyes of children. It focuses on the removal of paediatric cataracts and management of refractive error, strabismus etc. Perioperative and post-operative challenges related to paediatric cataract are known to all ophthalmologists worldwide. However, in a developing country like Nepal the main challenge of these patients are the post-operative follow up. The aim of the study is to find out the ways to reduce the post-operative follow up challenges in paediatric cataract surgery. Hence the ophthalmic assistants in the community eye centers need to be trained to examine the eyes of children. Materials and Methods: This was a retrospective study. A review of patient records, operated from July 2006 to December 2007, at Tilganga Institute of Ophthalmology was done. One hundred eyes of 69 patients were operated during the study period. Results: Follow-up assessment of visual acuity was available for 19 eyes only at the end of six weeks. Conclusion: At the end of six postoperative weeks, refractive status is important. This helps to prescribe the glasses to children as per need. If the post-operative visual status is not known, it is as equal as not performing the surgery. Ophthalmic assistants at community eye centers need to be trained to evaluate and record postoperative visual status of the paediatric age group. For this regular training and refreshers course on the pediatric eye care service is being conducted at the tertiary level for the ophthalmic assistants. This is more practical in the developing countries like Nepal. Key words: Cataract; Intraocular lens; Pediatric cataract surgery DOI: http://dx.doi.org/10.3126/jnps.v31i3.4062 J Nep Paedtr Soc 2011;31(3):198-201

scholarly journals Femto Laser-Assisted Cataract Surgery

2020 ◽  
Author(s):  
Clemence Bonnet ◽  
Saba Al-Hashimi ◽  
Antoine P. Brézin ◽  
Dominique Monnet
Keyword(s):  
Femtosecond Laser ◽  
Cataract Surgery ◽  
New Technology ◽  
Intraoperative Complications ◽  
Surgical Techniques ◽  
Current Method ◽  
Cataract Extraction ◽  
Scientific Data ◽  
Conventional Surgery ◽  
Lens Fragmentation

Cataract is a leading cause of blindness in the world, and cataract extraction is one of the most commonly performed surgeries. Preferred surgical techniques have changed over the past decades with associated improvements in outcomes and safety. Phacoemulsification is a highly successful technique first introduced over 40 years ago. It is the current method of cataract surgery, with a very low reported rate of major complications and a frequency of overall intraoperative complications of less than 2%. Application of the femtosecond laser evolved to now assist in cataract surgery and has been termed FLACS (femtosecond laser-assisted cataract surgery) and occurs in three steps: corneal incisions (including optional limbal relaxing incisions to reduce astigmatism), anterior capsulotomy, and lens fragmentation. The remaining surgical steps still require the surgeon’s hands. The FLACS technique may have some advantages compared with conventional phacoemulsification. It remains however unclear whether FLACS is globally more efficient and safer than conventional surgery. The popularity of FLACS may also be limited by its higher cost compared with conventional surgery. The potential advantages of laser-assisted surgery are yet to be determined as FLACS technology is relatively new and in continuous evolution. This chapter reports scientific data as well as our own experience with this new technology. All the platforms currently available are described.

scholarly journals Cataract Surgery and Uveitis

2016 ◽  
Vol 9 (3) ◽  
Author(s):  
Mumtaz Hussain ◽  
Muhammad Moin ◽  
Nazir Ahmad Aasi ◽  
Muhammad Waqas ◽  
Jawaid Mughal
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
General Hospital ◽  
Cataract Extraction ◽  
Extracapsular Cataract Extraction ◽  
Iol Implantation ◽  
Corrected Visual Acuity ◽  
Best Corrected Visual Acuity

The study of 30 patients was performed at Lahore General Hospital, and Institute Of Ophthalmology Mayo Hospital, Lahore from June 1989 to June 2003 for 14 years. Total number of eyes were 34 where 2 patients had both eyes. Age ranged from 12-65 years. Males were 11 and females were 19. all the patients had planned extracapsular cataract extraction with IOL implantation. Total follow up period ranged from 1-5 years and best corrected visual acuity in these patients after surgery was 6/12 to 6/6. Post operatively, eyes had vitreous membranes and glaucomatous reaction.

Long-term Follow-up of the Corneal Endothelium After Pediatric Cataract Surgery

Cornea ◽  
2012 ◽  
Vol 31 (5) ◽  
pp. 529-532 ◽  
Author(s):  
Rami Borghol Kassar ◽  
José Luis Menezo Rozalén ◽  
Miguel Ángel Harto Castaño ◽  
Mari Carmen Desco Esteban
Keyword(s):  
Cataract Surgery ◽  
Corneal Endothelium ◽  
Pediatric Cataract ◽  
Long Term Follow Up ◽  
Pediatric Cataract Surgery

scholarly journals Femtosecond Laser-assisted Cataract Surgery—Challenging Cases, Successes, and Complications

2015 ◽  
Vol 8 (1) ◽  
pp. 19
Author(s):  
Mark Packer ◽  
Keyword(s):  
Femtosecond Laser ◽  
Cataract Surgery ◽  
Silicone Oil ◽  
Pediatric Cataract ◽  
Eye Surgery ◽  
Prior Use ◽  
Pediatric Cataract Surgery

While femtosecond laser-assisted cataract surgery (FLACS) is evolving as an alternative to phacoemulsification, there are a lack of data on its use in challenging cases. This article discusses cases in which FLACS is particularly advantageous including subluxated cataracts, prior eye surgery, combined vitrectomy and FLACS, pediatric cataract surgery, small pupils, and nanophthalmos. However, FLACS does not produce superior outcomes in all cases and caution is needed in cases of posterior polar cataracts, glaucoma, and prior use of silicone oil.

Femto-assisted versus conventional phacoemulsification differently impact on choroid structure after surgery

2021 ◽  
pp. 112067212110483
Author(s):  
Romolo Appolloni ◽  
Pasquale Viggiano ◽  
Maria Luisa Carrella ◽  
Federica Evangelista ◽  
Alessandro Appolloni ◽  
...  
Keyword(s):  
Femtosecond Laser ◽  
Cataract Surgery ◽  
Outcome Measures ◽  
Choroidal Thickness ◽  
Retinal Thickness ◽  
Cataract Extraction ◽  
Spectral Domain Oct ◽  
Significant Difference ◽  
Oct Imaging

Purpose: To report potential choroidal changes in eyes undergoing femtosecond laser cataract surgery (FLACS) and phacoemulsification surgery (PCS) by OCT. Methods: The patients were images by means Spectral Domain OCT imaging with EDI technology which may obtain OCT image. We exported a single EDI-OCT scan passing through the fovea and then it was imported into ImageJ program to perform a quantitative analysis. Main outcome measures: The main outcome measures were: (i) sub foveal choroidal thickness (SFCT); (ii) the choroidal vascularity index (CVI); and (iii) central retinal thickness (CRT). Results: At postoperative 1 week, FLACS group showed an increased CRT (241.2 ± 31.6–245.5 ± 36.4 µm; p = 0.016). Likewise, CVI and SFCT exhibited a slight increase but no statistically differences were highlighted ( p > 0.05). At the follow-up visit of 1 month, all OCT parameters did not display any significant difference ( p > 0.05). At post-operative 1 week, the PCS group displayed a significant increase in CRT, SFCT, and CVI. On the contrary, at the follow-up visit of 1-month, all choroidal parameters were characterized by a no statistically significant reduction ( p > 0.05). Conclusions: Our study exhibited a significant increase in CT and CVI in eyes that underwent conventional cataract surgery. Femtosecond laser-assisted cataract extraction did not result in macular change due to less postoperative inflammation.

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