Femtosecond Laser-Assisted Cataract Surgery in Infants
Narrative Responses:
Purpose
The purpose of this study is to demonstrate experience and technique for performing anterior and posterior capsulotomies as well as lens softening with a femtosecond laser in infants with cataracts.
Methods
This study evaluates 18 infants with congenital cataract treated with the image guided Catalys precision laser system (Optimedica). Anterior capsulotomy was performed by the laser. After lens removal, the fluid-filled interface and laser was re-docked to the eye for posterior capsulotomy. The integrated 3-dimensional optical coherence tomography visualizes the posterior capsule, enabling a centered central posterior capsulotomy, keeping the anterior hyaloid membrane intact or performing anterior vitrectomy.
Results
The anterior and posterior capsule disks were removed without capsule tears, and all infants were treated without complications.
Conclusion
The use of a femtosecond laser enhanced the quality of pediatric surgery and was safe for treating infant cataracts.