Femtosecond laser use shows very low rate of capsule tears
Improved technology and surgeon experience now results in a perfectly circular, evenly sized and intact capsulotomy in nearly 100% of cases
Dr. Roberts also offered several surgical pearls to reduce the learning curve in FLACS. Among them: Leave ample time for maximum pupil dilation, and ensure precise positioning and docking.
“Individualize your energy settings, and do a careful inspection of the capsulotomy edge,” he said. Other recommendations include using blue dye to stain white cataracts, and dividing the nucleus into small segments for harder nuclei.
“Don’t bring large nuclear fragments up through the capsulotomy,” he said. “And don’t stretch the capsule edge during cross-action manipulation with the phaco handpiece and side instrument.”
1. Day AC, Gartry DS, Maurino V, Allan BD, Stevens JD. Efficacy of anterior capsulotomy creation in femtosecond laser-assisted cataract surgery. J Cataract Refract Surg, 2014;40(12):2031-4
2. Roberts TV, Lawless M, Sutton G, Hodge C. Anterior capsule integrity after femtosecond laser-assisted cataract surgery. J Cataract Refract Surg, 2015;41(5):1109-10.