Femtosecond laser-assisted cataract surgery in a patient with traumatic cataract and corneal opacity after LASIK: a case report

Femtosecond laser-assisted cataract surgery (FLACS) has been reported to reduce phacoemulsification time and energy compared to the manual phacoemulsification technique. This technique has been used in several complex cases such as zonular weakness, subluxated lens and traumatic cataracts because it...

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Bibliographic Details
Published in:BMC ophthalmology 2020-06, Vol.20 (1), p.218-218, Article 218
Main Authors: Huang, Pei-Wei, Huang, Wei-Hsuan, Tai, Yuan-Che, Sun, Chi-Chin
Format: Article
Language:English
Subjects:
Adult
Care and treatment
Case Report
Case reports
Cataract
Cataract - etiology
Cataract extraction
Cataract Extraction - methods
Cataracts
Comparative analysis
Contraindications
Cornea
Corneal Injuries - etiology
Corneal opacity
Corneal Opacity - etiology
Corneal Opacity - surgery
Eye Injuries - etiology
Eye Injuries - surgery
Eye surgery
Femtosecond lasers
FLACS
Humans
Intraocular Pressure - physiology
Keratomileusis, Laser In Situ
Laser Therapy - methods
Lasers
LASIK
Lens Implantation, Intraocular
Lens, Crystalline - injuries
Male
Patients
Surgery
Tomography
Trauma
Tropicamide
Ultrasonic imaging
Visual Acuity - physiology
Wounds, Nonpenetrating - etiology
Wounds, Nonpenetrating - surgery
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Summary:Femtosecond laser-assisted cataract surgery (FLACS) has been reported to reduce phacoemulsification time and energy compared to the manual phacoemulsification technique. This technique has been used in several complex cases such as zonular weakness, subluxated lens and traumatic cataracts because it causes less damage to weakened zonules. However, corneal opacity is considered a relative contraindication to FLACS, as it may interfere with laser beam delivery, thus causing unpredictable capsulorhexis and lens fragmentation/liquefaction. We present here a case with traumatic cataract and corneal opacity after laser-assisted in situ keratomileusis (LASIK). The patient was successfully treated using FLACS, capsular tension ring and intraocular lens (IOL) implantation. Posterior capsule rupture and vitreous loss were noted during the operation. However, the intraocular lens was successfully captured because of a complete capsulorhexis performed by FLACS. This case report demonstrates that FLACS is a useful tool in selected patients with concurrent corneal opacity and traumatic cataract.
ISSN:1471-2415
1471-2415
DOI:10.1186/s12886-020-01491-0