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    Managing mature white cataracts


    He demonstrated one of the cases in which a hard cataract in which the pupil would not dilate. He reduced the capsulotomy size and lens chop size. In cases with softer cataracts, he uses a 1.5-mm incision, but increased it to 1.8 mm and ultimately to 1.9 or 2.0 mm. Although the nucleotomy was not to the complete depth, the division of the nucleus was possible. When the laser started firing, he described explosion of fluid from inside the tumescent cataract.

    Bharti noted that the capsulotomies and incisions were all performed successfully. Partial nucleotomy was helpful in these cases. There was no extension of the capsulotomy despite the high intralenticular pressure in tumescent white mature cataracts.

    “Femtosecond laser-assisted cataract surgery is an efficient way to manage mature white cataracts,” according to Bharti.

    For more articles in this issue of Ophthalmology Times’ Conference Brief, click here.




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