Femtosecond Laser–Assisted Surgery With Ultrasonic Blade in Dense Cataracts
Purpose
Describe our experience in enhancing the femtosecond cataract surgery if the fracture of the nucleus is combined with ultrachopper preventing the capsular blockage and the posterior capsular rupture during hydrodissection.
Methods
We present an approach in which after the femtosecond laser, we perform the antiblockage technique that consists in making a groove with the ultrachopper and divide the nucleus prior to hydrodissection facilitating the gas release and preventing the capsular blockage. Also the ultrachopper facilitates the rupture of the posterior plaque enhancing the fracture as well.
Results
In our experience the Femtosecond ultrachopper assited surgery has enhanced the nucleus fracture and decreases de blockage syndrome since the ultrachopper enables us to use the antiblockage technique thus facilitating the gas release and preventing the posterior capsular rupture during hydrodissection. Also the ultrasonic energy is low as well as the fluids and the time of surgery.
Conclusion
In our experience we can say that the ultrachopper adds safety to the femtosecond laser surgery and its easy to use. The use of the antiblockage technique with the ultrachopper facilitates the gas release and prevents the capsular blockage.