Dr. Siddharth Duggal

Dr. SHEETAL BRAR, Dr. SRI GANESH

Abstract

Purpose: To compare the safety, efficacy and feasibility of 1000 microns versus 400 microns incision depth for capsulotomy in eyes undergoing FLACS for Intumescent Cataracts

Methods: Prospective, interventional, randomised, comparative study included two groups (n=25 eyes in each). Group 1 and 2 wherein 400μm and 1000μm incision depth for capsulotomy respectively. Intraoperative OCT was used to assess completeness of capsulotomy as free floating nature or presence of capsular adhesions if any.

Results: In Group 1, 9 out of 25 eyes (36%) were free floating that is removed only with OVD while 16/25 required additional manipulation with micro forceps whereas in Group 2, 21 out of 25 eyes (84%) were free floating which corroborated with IOCT findings.

Conclusions: Capsulotomy using 1000 microns incision offers advantage of having greater safety compared to 400 microns incision depth however still requires caution in managing Intumescent Cataracts.

Full Text