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    Femtosecond laser for pediatric cataracts safe

    Boston—Femtosecond laser (FSL)-assisted cataract surgery in children with cataract was uneventful, safe, and resulted in good outcomes, despite being an off-label use of the technology, said Burkhard Dick, MD.

    Dr. Dick said he used the Catalys femtosecond laser (OptiMedica) in a consecutive prospective case series of infants with congenital cataracts. An advantage of this system is that two liquid optic interfaces are available, 14.1 or 12 mm in inner diameter, and fit in lids of 20 to 25 mm.

    “Every tenth of a millimeter counts in these patients,” said Dr. Dick, Center for Vision Science, Ruhr University Eye Hospital, Bochum, Germany.

    He emphasized the importance of completely sterile conditions because during the procedure, the laser must be docked, undocked, and redocked to perform the anterior capsulotomy, remove the crystalline lens, and perform the posterior capsulotomy.

    FSL was used to treat 22 eyes (mean age, 9 years), and Dr. Dick reported that all capsulotomies were performed successfully.

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