Abstract
The cataract incision has a major impact on several key aspects of cataract surgery. Instruments must be passed through the incision without excessive manipulation and, during surgery, the instruments must be able to maneuver adequately within the eye to accomplish their goal. The intraocular lens (IOL) must be able to be inserted through the incision. After surgery, the incision may have an impact on astigmatism, generally in the direction of causing flattening of that meridian. Finally, any leakage from the incision has two major associated risks. The first is damage to the corneal endothelium from shallowing or emptying of the anterior chamber, particularly if implanted devices such as an IOL come in contact with the endothelium. The second and worst of the potential complications is the ingress of organisms, resulting in endophthalmitis. All of these factors determine the ultimate selection of incision size and configuration.
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Fine IH. Incision construction. In: Steinert RF, editor. Cataract surgery. 3rd ed. London: Saunders Elsevier; 2010. p. 141–62.
Steinert RF, Ignacio TS, Sarayba MS. Top hat-shaped penetrating keratoplasty using the femtosecond laser. Am J Ophthalmol. 2007;143:689–91.
Farid M, Kim M, Steinert RF. Results of penetrating keratoplasty performed with femtosecond laser zig-zag incision initial report. Ophthalmology. 2007;114:2208–12.
Farid M, Steinert RF. Deep anterior lamellar keratoplasty performed with the femtosecond laser zigzag incision for the treatment of stromal corneal pathology and ecstatic disease. J Cataract Refract Surg. 2009; 35(5):809–13.
Farid M, Steinert RF, Gaster RM, Chamberlain W, Lin A. Comparison of penetrating keratoplasty performed with a femtosecond laser zig-zag incision versus conventional blade trephination. Ophthalmology. 2009;116(9):1638–43 [Epub 2009 Jul 31. PMID: 19646760].
Farid M, Steinert RF. Femtosecond laser-assisted corneal surgery. Curr Opin Ophthalmol. 2010;21(4):288–92.
Masket S, Sarayba M, Ignacio T, Fram N. Femtosecond laser-assisted cataract incisions: architectural stability and reproducibility. J Cataract Refract Surg. 2010;36: 1048–9.
Loden J. “Laser Cataract Surgery with Femtosecond Technology” Presented at the Annual Meeting of the American Society of Cataract and Refractive Surgery, session 1E, March 26, 2011, San Diego CA.
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Steinert, R.F., Loden, J.C. (2013). Primary Transcorneal Laser Incisions. In: Krueger, R., Talamo, J., Lindstrom, R. (eds) Textbook of Refractive Laser Assisted Cataract Surgery (ReLACS). Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1010-2_9
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DOI: https://doi.org/10.1007/978-1-4614-1010-2_9
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