Incidence of Free-Floating Capsulotomy and Complications Associated With Use of Novel Femtosecond Laser System for Cataract Surgery
Narrative Responses:
Purpose
The primary aim of this study was to identify the rates of free-floating capsulotomy with the VICTUS laser platform (Victus; Bausch+Lomb, Rochester, NY). The following complications associated with the creation of the anterior capsulotomy using this system were also recorded: subconjunctival hemorrhage, suction loss, and difficulty docking.
Methods
Patients scheduled to undergo femtosecond-laser cataract surgery underwent capsulotomy creation (target diameter of 5.5 mm) using the VICTUS laser system. Information on free-floating capsulotomy and complications was recorded intraoperatively for all patients. Another metric (suction time) was added at a later stage and is reported for 32 eyes.
Results
40 eyes of 28 cataract surgery patients (11 men, 17 women; mean age 68 years, range 44-81 years) were included in the analysis. A complete (free-floating) capsulotomy was created in all cases. Similarly, no cases exhibited suction loss or difficulty docking. Subconjunctival hemorrhage occurred in 15.4% of cases (six out of 39 eyes).
Conclusion
Our data indicate that the VICTUS laser system successfully creates a free-floating capsulotomy and is not associated with suction loss or difficulty docking.