June 2013
Volume 54, Issue 15
Free
ARVO Annual Meeting Abstract  |   June 2013
Evaluation of femtosecond laser-assisted clear cornea cataract surgery in lens exfoliation syndrome (LES)
Author Affiliations & Notes
  • Anam Qureshi
    Ophthalmology, New York University, New York, NY
  • A. John Kanellopoulos
    Ophthalmology, New York University, New York, NY
    LaserVision.gr Institute, Athens, Greece
Investigative Ophthalmology & Visual Science June 2013, Vol.54, 1818. doi:
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    • Get Citation

      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)

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Abstract
 
Purpose
 

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.

 
Methods
 

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.

 
Results
 

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.

 
Conclusions
 

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.

 
Keywords: 421 anterior segment  
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