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Femtosecond cataract laser capsulotomy enabling optic capture and secondary sulcus iol insertion in an eye with traumatic aniridia and aphakia.
[aniridia]
To
describe
a
surgical
technique
and
intraoperative
modifications
to
create
a
secondary
capsulotomy
using
the
femtosecond
cataract
laser
in
an
eye
with
traumatic
aphakia
and
aniridia
.
The
expanded
use
of
the
femtosecond
cataract
laser
(
Catalys
Precision
Laser
System
;
Optimedica
,
Sunnyvale
,
CA
)
for
creation
of
a
well-centered
and
circular
secondary
capsulotomy
in
the
capsular
remnants
of
an
eye
with
traumatic
aphakia
and
aniridia
.
Using
software
modifications
based
on
intraoperative
anterior
segment
spectral-domain
optical
coherence
tomography
imaging
,
and
customizing
the
capsulotomy
settings
,
the
femtosecond
cataract
laser
was
able
to
penetrate
through
most
of
the
fused
anterior
and
posterior
capsular
leaflets
and
a
circular
capsulotomy
was
achieved
.
The
latter
permitted
optic
capture
and
excellent
centration
of
a
three
-piece
intraocular
lens
placed
in
the
sulcus
with
good
postoperative
visual
rehabilitation
.
The
femtosecond
cataract
laser
can
be
customized
to
create
a
well-centered
and
circular
secondary
capsulotomy
in
aniridic
and
aphakic
eyes
where
optic
capture
is
critical
for
long
-term
intraocular
lens
stability
.
Diseases
Validation
Diseases presenting
"circular secondary capsulotomy in the capsular remnants of an eye"
symptom
aniridia
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