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Posterior Capsular Rent in the Setting of Femtosecond Laser-Assisted Cataract Surgery (FLACS)

  • Melissa H. Y. Wong
  • Soon Phaik Chee
  • Ronald Yeoh
Chapter

Abstract

With the advent of new surgical techniques and technologies, a whole new range of complications arise, some to be expected and some totally unimaginable. Posterior capsule rupture (PCR) is a complication that has always merited most attention, be it in planned extracapsular cataract extraction or phacoemulsification. This is largely because of the many sight-threatening consequences of PCR, such as cystoid macular edema, retinal detachment, and lens implant subluxation. Femtosecond laser-assisted cataract surgery (FLACS), as the new high-tech kid on the block, is also susceptible to PCR but the pathogenesis and clinical scenarios may be different.

Keywords

Femtosecond Laser Anterior Chamber Cystoid Macular Edema Posterior Capsule Anterior Capsule 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Nagy ZZ, Takacs AI, Filkorn T, Kránitz K, Gyenes A, Juhász É, Sándor GL, Kovacs I, Juhász T, Slade S. Complications of femtosecond laser-assisted cataract surgery. J Cataract Refract Surg. 2014;40:20–8.CrossRefPubMedGoogle Scholar
  2. 2.
    Roberts TV, Sutton G, Hodge C. Capsular block syndrome associated with femtosecond laser-assisted cataract surgery. J Cataract Refract Surg. 2011;37:2068–70.CrossRefPubMedGoogle Scholar
  3. 3.
    Yeoh R. Hydrorupture of the posterior capsule in femtosecond-laser cataract surgery. J Cataract Refract Surg. 2012;38:730.CrossRefPubMedGoogle Scholar
  4. 4.
    Talamo JH, Gooding P, Angeley D, Culbertson WW, Schuele G, Andersen D, Marcellino G, Essock-Burns E, Batlle J, Feliz R, Friedman NJ, Palanker D. Optical patient interface in femtosecond laser-assisted cataract surgery: contact corneal applanation versus liquid immersion. J Cataract Refract Surg. 2013;39:501–10.CrossRefPubMedGoogle Scholar
  5. 5.
    Donaldson KE. ASCRS refractive cataract surgery subcommittee. Femtosecond laser-assisted cataract surgery. J Cataract Refract Surg. 2013;39:1753–63.CrossRefPubMedGoogle Scholar
  6. 6.
    Nagy Z, Takacs A, Filkorn T, Sarayba M. Initial clinical evaluation of an intraocular femtosecond laser in cataract surgery. J Refract Surg. 2009;25:1053–60.CrossRefPubMedGoogle Scholar
  7. 7.
    Friedman NJ, Palanker DV, Schuele G. Femtosecond laser capsulotomy. J Cataract Refract Surg. 2011;37:1189–98.CrossRefPubMedGoogle Scholar
  8. 8.
    Knorz M. Analysis of 100 consecutive capsulotomies created with femtosecond laser for cataract surgery and novel patient interface technology. ASCRS Presentation. 2013.Google Scholar
  9. 9.
    Abell RG, Davies PE, Phelan D, Goemann K, McPherson ZE, Vote BJ. Anterior capsulotomy integrity after femtosecond laser-assisted cataract surgery. Ophthalmology. 2014;121:17–24.CrossRefPubMedGoogle Scholar
  10. 10.
    Roberts TV, Lawless M, Bali SJ, Hodge C, Sutton G. Surgical outcomes and safety of femtosecond laser cataract surgery:a prospective study of 1500 cases. Ophthalmology. 2013;120:227–33.CrossRefPubMedGoogle Scholar
  11. 11.
    Bali SJ, Hodge C, Lawless M, Roberts TV, Sutton G. Early experience with the femtosecond laser for cataract surgery. Ophthalmology. 2012;119:891–9.CrossRefPubMedGoogle Scholar
  12. 12.
    Chang JS, Chen IN, Chan WM, Ng JC, Chan VK, Law AK. Initial evaluation of a femtosecond laser system in cataract surgery. J Cataract Refract Surg. 2014;40:29–36.CrossRefPubMedGoogle Scholar
  13. 13.
    Chylack LT, Wolfe JK, Singer DM, Leske MC, Bullimore MA, Bailey IL, Friend J, McCarthy D, Wu SY. The lens opacities classification scale III. The longitudinal study of Cataract Study Group. Arch Ophthalmol. 1993;111:831–6.CrossRefPubMedGoogle Scholar
  14. 14.
    Grewal DS, Basti S, Singh Grewal SP. Femtosecond laser-assisted cataract surgery in a subluxated traumatic cataract. J Cataract Refract Surg. 2014;40:1239–40.CrossRefPubMedGoogle Scholar
  15. 15.
    Yeoh R. The ‘pupil snap’ sign of posterior capsule rupture with hydrodissection in phacoemulsification. Br J Ophthalmol. 1996;80:486.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Michelson MA. Use of a sheets’ glide as a pseudo-posterior capsule in phacoemulsification complicated by posterior capsule rupture. Eur J Implant Refract Surg. 1993;5:70–2.CrossRefGoogle Scholar
  17. 17.
    Kumar DA, Agarwal A, Prakash G, Jacob S, Agarwal A, Sivagnanam S. IOL scaffold technique for posterior capsule rupture. J Cataract Refract Surg. 2012;28:314–5.CrossRefGoogle Scholar
  18. 18.
    Chee SP. Pseudo anterior capsule barrier for the management of posterior capsule rupture. J Cataract Refract Surg. 2012;38:1309–15.CrossRefPubMedGoogle Scholar
  19. 19.
    Chee SP. Anterior-assisted levitation for the posteriorly dislocated intraocular lens. J Cataract Refract Surg. 2009;35:980–6.CrossRefPubMedGoogle Scholar
  20. 20.
    Chang DF, Packard RB. Posterior assisted levitation for nucleus retrieval using Viscoat after posterior capsule rupture. J Cataract Refract Surg. 2003;29:1860–5.CrossRefPubMedGoogle Scholar

Copyright information

© Springer India 2017

Authors and Affiliations

  1. 1.Singapore National Eye CentreSingaporeSingapore
  2. 2.Singapore Eye Research InstituteSingaporeSingapore
  3. 3.Department of OphthalmologyYong Loo Lin School of Medicine, National University of SingaporeSingaporeSingapore
  4. 4.Duke-National University of Singapore Graduate Medical School, Duke-NUS Medical SchoolSingaporeSingapore

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