Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2023, Vol. 37 ›› Issue (1): 110-114.doi: 10.6040/j.issn.1673-3770.0.2021.568

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Retrospective analysis of the causes of anterior capsular tear in early femtosecond laser-assisted cataract surgery

DONG Shuguang1,2, GUO Fengfei3, MENG Xuxia1, YAN Shilong2   

  1. 1. Department of Ophthalmology, The Affiliated Hospital of Qingdao University, Qingdao 266500, Shandong, China;
    2. Department of Ophthalmology, Jinan Aier Eye Hospital, Jinan 250199, Shandong, China;
    3. Department of Pathology, PKUCare Luzhong Hospital, Zibo 255499, Shandong, China
  • Published:2023-02-06

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Abstract: Objective A retrospective study to analyze the causes of anterior capsular tear in patients with femtosecond laser-assisted cataract surgery. Methods A total of 86 patients(105 eyes)who chose femtosecond laser-assisted cataract surgery(FLACS )were counted. All patients underwent circular capsulotomy of the anterior capsule and lens pre-chopping using femtosecond laser-assisted design, and then continued to complete phacoemulsification combined with intraocular lens implantation. All surgeries were performed by the same skilled surgeon, and patients with anterior capsular tear were recorded. Results In 105 eyes, 6 eyes(5.71%)had anterior capsular tear. Among them, 3 eyes(2.86%)had anterior capsule tear during femtosecond laser anterior capsule incision 2 eyes(1.90%)of patients with cataracts(all white of the lens)had tears during removal of the anterior capsule, and 1 eye(0.95%)of patient with grade Ⅳ nuclear cataracts had tears during phacoemulsification. Conclusion FLACS may cause anterior capsular tear during laser emission or phacoemulsification, especially for patients with white cataract, inflated cataract, and possibly other issues. By selecting suitable patients, and using a careful and standardized surgery operation, which can avoid the complications of anterior capsule tear to the greatest extent, is needed to take advantage of FLACS.

Key words: Anterior capsular tear, Cataract, Complication, Femtosecond laser, Phacoemulsification

CLC Number: 

  • R776.1
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