Lens capsule-related complications of femtosecond laser –assisted capsulotomy versus manual capsulorhexis for white cataracts

The study by Zhu et  al.1 included an impressive number of white cataracts (n = 132) that were removed by femtosecond laser–assisted cataract surgery (FLACS group) or conventional phacoemulsification cataract surgery (CPCS group). The authors correctly point out that advanced cataracts present several challenges f or the surgeon. In particular, the increased intracapsular pressure caused by liquefaction of the cortex can render capsulorhexis creation extremely difficult. Having used the femtosecond laser in a series of difficult situations such as pediatric cataract, traumatic cataract, Marfan syndrome, and i ntumescent white cataract, we find it encouraging to read the results of our Chinese colleagues, most of all the significantly reduced risk for anterior capsule tears when laser capsulotomy is performed rather than continuous curvilinear capsulorhexis.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Letter Source Type: research