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Year : 2019  |  Volume : 67  |  Issue : 10  |  Page : 1744-1746

Challenges during femtosecond laser assisted cataract surgery with posterior chamber phakic intraocular lens

Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Pondicherry, India

Correspondence Address:
Dr. Manas Nath
Department of Cataract Services, Aravind Eye Hospital, Aravind Eye Hospital Staff Qtr C-21, Pondicherry - 605 007
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1852_18

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Femtosecond laser-assisted cataract surgery was performed in a patient with high myopia, who had undergone posterior chamber phakic intraocular lens surgery (Implantable Collamer Lens, ICL). During docking the machine erroneously focused the laser on the anterior surface of ICL and laser for lens fragmentation was also defocused, which were correctly positioned before laser delivery. During laser application for capsulotomy, air bubbles were entrapped under the ICL prohibiting lens fragmentation. One must be careful during focusing the laser in eyes with ICL. Additionally, gas bubbles under the ICL may lead to difficulties in completion of nuclear disassembly.

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