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Defining the ideal femtosecond laser capsulotomy

Identifieur interne : 000146 ( Pmc/Corpus ); précédent : 000145; suivant : 000147

Defining the ideal femtosecond laser capsulotomy

Auteurs : Mark Packer ; E Valas Teuma ; Adrian Glasser ; Steven Bott

Source :

RBID : PMC:4518749

Abstract

Purpose

We define the ideal anterior capsulotomy through consideration of capsular histology and biomechanics. Desirable qualities include preventing posterior capsular opacification (PCO), maintaining effective lens position (ELP) and optimising capsular strength.

Methods

Laboratory study of capsular biomechanics and literature review of histology and published clinical results.

Results

Parameters of ideal capsulotomy construction include complete overlap of the intraocular lens to prevent PCO, centration on the clinical approximation of the optical axis of the lens to ensure concentricity with the capsule equator, and maximal capsular thickness at the capsulotomy edge to maintain integrity.

Conclusions

Constructing the capsulotomy centred on the clinical approximation of the optical axis of the lens with diameter 5.25 mm optimises prevention of PCO, consistency of ELP and capsular strength.


Url:
DOI: 10.1136/bjophthalmol-2014-306065
PubMed: 25829488
PubMed Central: 4518749

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