EyeWorld Asia-Pacific September 2021 Issue

CATARACT 28 EWAP SEPTEMBER 2021 Dr. Fra m said can haÛe benefits in cataract cases that include zonulopathy. New settings including increased speed of the capsulotomy, yat docking, contact lens interface on the applanation system, liquid interface, and hybrid applanation/ liquid interface allow for more stable and stronger capsulotomies, she said. r. Fram thinks the benefits of FLACS for zonulopathy cases are three-fold. First, it creates a perfectly centered and sized capsulotomy, which is important in the setting of shallow chambers and pseudoexfoliation eyes, which are susceptible to capsule contraction. Second, the “pre- chop” fragmentation facilitates easier lens manipulation. Third, pneumodissection from the femtosecond laser bubbles reduce the need for hydrodissection and minimize the need for lens rotation. “All of these factors improve reproducibility of a complex surgery,” she said, adding that her practice recently evaluated 32 eyes that had FLACS with hang odification capsule retractors. In this review, there were two tears in the anterior capsule, both in aniridic eyes, which Dr. Fram said are known to be more friable. Dr. Fram said FLACS capsulotomy should be avoided in aniridic eyes. Dr. Kim said he doesn’t perform FLACS, but he thinks it has an advantage in creating a perfect capsulotomy and in lens segmentation. One drawback could be that some of the clues of zonulopathy are seen in certain stages of manual cataract surgery and would be lost in FLACS, he noted. Though he doesn’t have experience with an automated capsulotomy device like Zepto (Centricity Vision) or miLOOP (Carl Zeiss Meditec), Dr. Kim said these tools could be helpful in cases with zonulopathy. EWAP Reference 1. Kim DB. ross chop\ odified rotationless horizontal chop technique for weak zonules. J Cataract Refract Surg . 2ääÆÎx\£ÎÎxq£ÎÎÇ. Editors’ note: Dr. Fram practices at Advanced Vision Care, Los Angeles, California. Dr. Kim is in private practice with Professional Eye Associates, Dalton, Georgia. Neither disclosed relevant financial interests. Measure, visualize, understand Eyestar 900 features precise cornea-to-retina measurements, topographic assessment of the front and back corneal surface, the anterior chamber (including the lens) and imaging of all these structures. The fully automated measurement process enables the user to reliably acquire precise measurement and swept-source OCT imaging data of both eyes in less than 40 seconds. And more to come... An investment in the Eyestar 900 is an investment in the future. With periodical software updates, Haag-Streit is constantly adding new features and capabilities to ensure that the Eyestar 900 meets and exceeds your needs throughout its lifespan. All swept-source OCT precision measure- ments and imaging for greater safety and improved outcomes. « » www.haag-streit.com EYESTAR 900 Precision OCT