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Indian J Ophthalmol. 2019 Oct;67(10):1744-1746. doi: 10.4103/ijo.IJO_1852_18.

Challenges during femtosecond laser assisted cataract surgery with posterior chamber phakic intraocular lens.

Author information

1
Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Pondicherry, India.

Abstract

Femtosecond laser-assisted cataract surgery was performed in a patient with high myopia, who had undergone posterior chamber phakic intraocular lens surgery (Implantable Collamer Lens, ICL). During docking the machine erroneously focused the laser on the anterior surface of ICL and laser for lens fragmentation was also defocused, which were correctly positioned before laser delivery. During laser application for capsulotomy, air bubbles were entrapped under the ICL prohibiting lens fragmentation. One must be careful during focusing the laser in eyes with ICL. Additionally, gas bubbles under the ICL may lead to difficulties in completion of nuclear disassembly.

KEYWORDS:

Cataract surgery; femtosecond laser; phakic intraocular lens

PMID:
31546550
DOI:
10.4103/ijo.IJO_1852_18
Free PMC Article

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