Femtosecond laser-assisted cataract surgery in patients with zonular weakness

Olivia Dryjski; Abdelhalim Awidi; Yassine J. Daoud

doi:10.1016/j.ajoc.2019.100483

Femtosecond laser-assisted cataract surgery in patients with zonular weakness

Olivia Dryjski, Abdelhalim Awidi, Yassine J. Daoud

School of Medicine

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Purpose: To present the clinical value of femtosecond laser assisted cataract surgery (FLACS) in eyes with compromised zonules. Observations: We present two cases of femtosecond laser assisted cataract surgery (FLACS) in eyes with compromised zonules. Three eyes from two patients with zonular weakness and cataract underwent FLACS (Alcon LenSx Lasers Inc., Aliso Viejo, CA). One patient underwent bilateral FLACS in the setting of spherophakia with zonular weakness. The other patient had Marfan's syndrome with associated ectopia lentis. Laser assisted capsulotomy was achieved in all eyes. One eye had vitreous prolapse during surgery and required an iris-sutured lens. All eyes had a postoperative corrected distance visual acuity of 20/25 or better. Conclusions and Importance: FLACS is a safe and effective alternative to conventional phacoemulsification cataract surgery in patients with zonular weakness.

Original language	English (US)
Article number	100483
Journal	American Journal of Ophthalmology Case Reports
Volume	15
DOIs	https://doi.org/10.1016/j.ajoc.2019.100483
State	Published - Sep 2019

Keywords

Capsulotomy
Cataract surgery
Femtosecond
Zonulopathy

ASJC Scopus subject areas

Ophthalmology

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10.1016/j.ajoc.2019.100483

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@article{57dcf5bc6bfb4966a3d94d1b5bbca94e,

title = "Femtosecond laser-assisted cataract surgery in patients with zonular weakness",

abstract = "Purpose: To present the clinical value of femtosecond laser assisted cataract surgery (FLACS) in eyes with compromised zonules. Observations: We present two cases of femtosecond laser assisted cataract surgery (FLACS) in eyes with compromised zonules. Three eyes from two patients with zonular weakness and cataract underwent FLACS (Alcon LenSx Lasers Inc., Aliso Viejo, CA). One patient underwent bilateral FLACS in the setting of spherophakia with zonular weakness. The other patient had Marfan's syndrome with associated ectopia lentis. Laser assisted capsulotomy was achieved in all eyes. One eye had vitreous prolapse during surgery and required an iris-sutured lens. All eyes had a postoperative corrected distance visual acuity of 20/25 or better. Conclusions and Importance: FLACS is a safe and effective alternative to conventional phacoemulsification cataract surgery in patients with zonular weakness.",

keywords = "Capsulotomy, Cataract surgery, Femtosecond, Zonulopathy",

author = "Olivia Dryjski and Abdelhalim Awidi and Daoud, {Yassine J.}",

note = "Funding Information: The project was funded by unrestricted research grant from the Michael O'Bannon foundation and The Turner Family. Publisher Copyright: {\textcopyright} 2019 The Authors",

year = "2019",

month = sep,

doi = "10.1016/j.ajoc.2019.100483",

language = "English (US)",

volume = "15",

journal = "American Journal of Ophthalmology Case Reports",

issn = "2451-9936",

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T1 - Femtosecond laser-assisted cataract surgery in patients with zonular weakness

AU - Dryjski, Olivia

AU - Awidi, Abdelhalim

AU - Daoud, Yassine J.

PY - 2019/9

Y1 - 2019/9

N2 - Purpose: To present the clinical value of femtosecond laser assisted cataract surgery (FLACS) in eyes with compromised zonules. Observations: We present two cases of femtosecond laser assisted cataract surgery (FLACS) in eyes with compromised zonules. Three eyes from two patients with zonular weakness and cataract underwent FLACS (Alcon LenSx Lasers Inc., Aliso Viejo, CA). One patient underwent bilateral FLACS in the setting of spherophakia with zonular weakness. The other patient had Marfan's syndrome with associated ectopia lentis. Laser assisted capsulotomy was achieved in all eyes. One eye had vitreous prolapse during surgery and required an iris-sutured lens. All eyes had a postoperative corrected distance visual acuity of 20/25 or better. Conclusions and Importance: FLACS is a safe and effective alternative to conventional phacoemulsification cataract surgery in patients with zonular weakness.

AB - Purpose: To present the clinical value of femtosecond laser assisted cataract surgery (FLACS) in eyes with compromised zonules. Observations: We present two cases of femtosecond laser assisted cataract surgery (FLACS) in eyes with compromised zonules. Three eyes from two patients with zonular weakness and cataract underwent FLACS (Alcon LenSx Lasers Inc., Aliso Viejo, CA). One patient underwent bilateral FLACS in the setting of spherophakia with zonular weakness. The other patient had Marfan's syndrome with associated ectopia lentis. Laser assisted capsulotomy was achieved in all eyes. One eye had vitreous prolapse during surgery and required an iris-sutured lens. All eyes had a postoperative corrected distance visual acuity of 20/25 or better. Conclusions and Importance: FLACS is a safe and effective alternative to conventional phacoemulsification cataract surgery in patients with zonular weakness.

KW - Capsulotomy

KW - Cataract surgery

KW - Femtosecond

KW - Zonulopathy

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Femtosecond laser-assisted cataract surgery in patients with zonular weakness

Abstract

Keywords

ASJC Scopus subject areas

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