Optimizing the technique of anterior capsulorhexis in anterior capsule fibrosis

Purpose. To optimize the technique for femtolaser-assisted anterior capsulorhexis in patients with anterior capsular fibrosis.   Material and methods.  All patients were divided into two groups: group I included 12 patients with central and peripheral anterior capsule fibrosis who underwent anterior...

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Main Authors: S. I. Nikolashin, E. S. Pirogova
Format: Article
Language:Russian
Published: Real Time Ltd 2022-07-01
Series:Российский офтальмологический журнал
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Online Access:https://roj.igb.ru/jour/article/view/993
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author S. I. Nikolashin
E. S. Pirogova
author_facet S. I. Nikolashin
E. S. Pirogova
author_sort S. I. Nikolashin
collection DOAJ
description Purpose. To optimize the technique for femtolaser-assisted anterior capsulorhexis in patients with anterior capsular fibrosis.   Material and methods.  All patients were divided into two groups: group I included 12 patients with central and peripheral anterior capsule fibrosis who underwent anterior circular capsulorhexis usingfemtolaser LensX (Alcon, USA) with laser energy 10 and 15 J . Group I I included 11 patients with central and peripheral anterior capsule fibrosis, who underwent manual capsulorhexis.   Results.  In group II, surgical complications oc­curred in 3 cases (27.3 %), group I was uneventful. In group I, BCVA increased to 0.80 (0.70; 0.85) over the 6 months’follow-up, in group II, it increased to 0.70 (0.60; 0.70) In group I, IOP was 16.4 (15.0; 17.4) mm Hg, in group IIit was 16.2 (13.8; 18.7) mm Hg.   Conclusion. Femtolaser-assisted anterior capsulorhexis in patients with anterior capsule fibrosis allowed reducing the number of operative complications by 27 % in comparison with manual capsulorhexis creation. Since even the maximum power values of the femtolaser system does not allow cutting the fibrotic capsule, we can make use of smaller power values, in particular 10 pJ, to create the anterior capsulorhexis in the area of unaffected or slightly fibrotic anterior capsule and cut the fibrotic part of the anterior capsule by collet scissors.
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spelling doaj-art-9cf059076c6440739732bc9c05c4a06d2025-08-20T03:19:24ZrusReal Time LtdРоссийский офтальмологический журнал2072-00762587-57602022-07-01152606710.21516/2072-0076-2022-15-2-60-67471Optimizing the technique of anterior capsulorhexis in anterior capsule fibrosisS. I. Nikolashin0E. S. Pirogova1S. Fyodorov Eye Microsurgery Federal State InstitutionS. Fyodorov Eye Microsurgery Federal State InstitutionPurpose. To optimize the technique for femtolaser-assisted anterior capsulorhexis in patients with anterior capsular fibrosis.   Material and methods.  All patients were divided into two groups: group I included 12 patients with central and peripheral anterior capsule fibrosis who underwent anterior circular capsulorhexis usingfemtolaser LensX (Alcon, USA) with laser energy 10 and 15 J . Group I I included 11 patients with central and peripheral anterior capsule fibrosis, who underwent manual capsulorhexis.   Results.  In group II, surgical complications oc­curred in 3 cases (27.3 %), group I was uneventful. In group I, BCVA increased to 0.80 (0.70; 0.85) over the 6 months’follow-up, in group II, it increased to 0.70 (0.60; 0.70) In group I, IOP was 16.4 (15.0; 17.4) mm Hg, in group IIit was 16.2 (13.8; 18.7) mm Hg.   Conclusion. Femtolaser-assisted anterior capsulorhexis in patients with anterior capsule fibrosis allowed reducing the number of operative complications by 27 % in comparison with manual capsulorhexis creation. Since even the maximum power values of the femtolaser system does not allow cutting the fibrotic capsule, we can make use of smaller power values, in particular 10 pJ, to create the anterior capsulorhexis in the area of unaffected or slightly fibrotic anterior capsule and cut the fibrotic part of the anterior capsule by collet scissors.https://roj.igb.ru/jour/article/view/993anterior capsulorhexiscapsulotomyfibrosis, anterior capsule
spellingShingle S. I. Nikolashin
E. S. Pirogova
Optimizing the technique of anterior capsulorhexis in anterior capsule fibrosis
Российский офтальмологический журнал
anterior capsulorhexis
capsulotomy
fibrosis, anterior capsule
title Optimizing the technique of anterior capsulorhexis in anterior capsule fibrosis
title_full Optimizing the technique of anterior capsulorhexis in anterior capsule fibrosis
title_fullStr Optimizing the technique of anterior capsulorhexis in anterior capsule fibrosis
title_full_unstemmed Optimizing the technique of anterior capsulorhexis in anterior capsule fibrosis
title_short Optimizing the technique of anterior capsulorhexis in anterior capsule fibrosis
title_sort optimizing the technique of anterior capsulorhexis in anterior capsule fibrosis
topic anterior capsulorhexis
capsulotomy
fibrosis, anterior capsule
url https://roj.igb.ru/jour/article/view/993
work_keys_str_mv AT sinikolashin optimizingthetechniqueofanteriorcapsulorhexisinanteriorcapsulefibrosis
AT espirogova optimizingthetechniqueofanteriorcapsulorhexisinanteriorcapsulefibrosis