Femtosecond laser-assisted technique for performing bag-in-the-lens intraocular lens implantation

J Cataract Refract Surg. 2013 Sep;39(9):1286-90. doi: 10.1016/j.jcrs.2013.07.014.

Abstract

We describe a technique for femtosecond laser-assisted bag-in-the-lens (BIL) intraocular lens (IOL) implantation. Anterior capsulotomy and lens division into small pieces are performed by the laser. A fluid-filled interface makes it possible to re-dock the laser to the eye for posterior capsulotomy after the eye has been opened for lens aspiration without complications. The integrated optical coherence tomography also visualizes the posterior capsule, allowing a centered central posterior capsulotomy for uncomplicated IOL positioning. In 31 patients, no complications were observed within a 1-month follow-up. Femtosecond laser-assisted cataract surgery facilitated the BIL technique.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anterior Capsule of the Lens / surgery*
  • Female
  • Humans
  • Lens Implantation, Intraocular / methods*
  • Low-Level Light Therapy / methods*
  • Male
  • Middle Aged
  • Phacoemulsification / methods*
  • Posterior Capsulotomy / methods*
  • Surgery, Computer-Assisted
  • Tomography, Optical Coherence
  • Treatment Outcome
  • Visual Acuity / physiology