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Anam Qureshi, A. John Kanellopoulos; Evaluation of femtosecond laser-assisted clear cornea cataract surgery in lens exfoliation syndrome (LES). Invest. Ophthalmol. Vis. Sci. 2013;54(15):1818.
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© ARVO (1962-2015); The Authors (2016-present)
To evaluate the safety, efficacy, and clinical parameters in clear cornea cataract surgery performed with the LenSx femtosecond laser (Alcon, Fort Worth, TX) in high risk eyes with lens exfoliation syndrome.
65 eyes of 48 consecutive patients with LES were evaluated preoperatively and 3 months postoperatively for the following parameters: age, UCVA, BSCVA, refraction, cylinder (C), capsulorhexis diameter (Cd), topographic cylinder change (TCc), endothelial cell count (ECC), and possible complications.
The mean age was 71 years. The mean pre- and post-op values were as follows: UCVA: 20/100, 20/25; BSCVA: 20/40, 20/22; spherical equivalent reduction: 3.7 to 0.5 diopters; C: -2.25D to -0.55D; Cd: 5.0 mm; TCc: -0.45D; ECC: 1850, 1650. An endocapsular tension ring was used in 5 cases.
This novel bladeless femto-assisted clear cornea cataract surgery appears to be safe and effective in LES, and may hold an intrinsic advantage of less surgical zonular weakening associated with capsulorhexis and lens fragmentation.
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