Early Experience in Femtosecond Laser-Assisted Cataract Surgery

Abstract

Ozet Amac: Femtosaniye laser yardimli katarakt ve refraktif lens degisimi (RLD) cerrahisinde intraoperatif komplikasyonlar ve ilk deneyimlerin degerlendirilmesi. Ge rec ve Yon tem: 2013 Mart-2013 Mayis tarihleri arasinda femtosaniye laser yardimli katarakt ve RLD ameliyati yapilan 29 hastanin 50 gozu calismaya alindi. Tum hastalara Femtosaniye laser cihazi (LenSx®, Alcon Inc.) ile komple prosedur (kapsulotomi, lens fragmantasyonu ve korneal kesiler) uygulandi. Ameliyatlar fakoemulsifikasyon ve goz ici lensi yerlestirilerek tamamlandi. Intraoperatif komplikasyonlar retrospektif olarak hasta dosyalarindan ve ameliyat videolarindan degerlendirildi. Bulgular: Hastalarin yas ortalamasi 63,8±11,7 (SD) yil idi. Vakum kaybi ya da anterior kapsul yirtigi hicbir gozde olusmadi. On bir gozde (%22) kucuk on kapsul etiketleri oldu. Yedi gozde (%14) serbest kapsulotomi, 40 gozde (%60) mikroadezyonlarla birlikte parsiyel tamamlanmis kapsuloreksis ve 3 gozde (%6) inkomplet kapsuloreksis izlendi. Bir gozde (%2) intrakapsuler basinc artisina bagli arka kapsul rupturu gelisti. Korneal kesiler 8 gozde (%16) kullanilmak istenmedi, 4 gozde (%8) tamamlanamadi. Miyozis 20 gozde (%40) meydana geldi. Vizyon kaybi ya da nukleus drop gozlenmedi. Sonuc: Femtosaniye laserlerin katarakt ve RLD cerrahisinde kullanimi guvenlidir. Komplikasyonlara bagli gorme kaybi gelismemistir. (Turk J Ophthalmol 2015; 45: 97-101) Anah tar Ke li me ler: Femtosaniye lazer, katarakt cerrahisi, komplikasyonlar Objectives: To analyze the early experience and intraoperative complications of femtosecond laser-assisted cataract and refractive lens exchange (RLE) surgery. Ma te ri als and Met hods: The initial 50 eyes of 29 patients who underwent cataract or RLE surgery between March 2013 and May 2013 were included in this study. All patients underwent anterior capsulotomy, lens fragmentation, and corneal incisions with the femtosecond laser (LenSx®, Alcon Inc.). The operation was completed by phacoemulsification and implantation of an intraocular lens. Intraoperative complications were evaluated from patient charts and video reviews retrospectively. Re sults: The mean age of the patients included was 63.8±11.7 years. No suction break or anterior capsule tear occurred in any case. Small anterior capsular tags occurred in 11 eyes (22%). The capsulotomy buttons were free-floating in 7 eyes (14%), while capsulorrhexis was partially completed with microadhesions in 40 eyes (60%) and uncompleted in 3 eyes (6%). One eye (2%) had a posterior capsule rupture secondary to increase in the intracapsular pressure. Corneal incisions either were not preferred to be used in 8 eyes (16%) or could not be completed in 4 eyes (8%). Miosis occurred in 20 eyes (40%). No vision lost or dropped nuclei were observed. Conclusion: The use of femtosecond lasers in cataract and RLE surgery is safe. There had been no vision lost secondary to complications. (Turk J Ophthalmol 2015; 45: 97-101)