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Complications of femtosecond laser-assisted cataract surgery combined with vitrectomy

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Abstract

Purpose

To evaluate the safety of femtosecond laser-assisted cataract surgery (FLACS) combined with 25- or 27-gauge vitrectomy.

Methods

This retrospective study included patients who underwent FLACS combined with 25- or 27-gauge vitrectomy at the Jikei University School of Medicine in Tokyo, Japan, between August 2016 and April 2018 and were followed up for ≥ 3 months postoperatively. In all cases, anterior capsulotomies and fragmentations of crystalline lenses were performed using a femtosecond laser. After FLACS, 25- or 27-gauge vitrectomy was performed. All intraoperative and postoperative complications due to FLACS and vitrectomy were examined.

Results

A total of 34 eyes from 34 patients were included. In 33 cases, complete coverage of the intraocular lens (IOL) by the anterior capsular edge was achieved. One case had posterior capsule rupture due to mis-suction during emulsification and aspiration of a fragment of the nuclear lens after capsulotomy. The IOL was fixed at the sulcus. Postoperative complications included endophthalmitis and macular edema in one eye, epiretinal membranes in two eyes, and postoperative capsular opacification in two eyes. The femtosecond laser caused no postoperative complications. There were no cases of intraoperative or postoperative iris capture or IOL subluxation.

Conclusions

In most cases, FLACS provided good IOL fixation in the capsule without affecting the intra- or extraocular pressure and good vision during or after the operation. FLACS combined with 25- or 27-gauge vitrectomy should be performed considering the advantages and disadvantages of femtosecond laser usage.

Clinical trial registration

Japan Clinical Trials Register; number: UMIN000021814.

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Funding

No funding was received for this study.

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Authors and Affiliations

  1. Department of Ophthalmology, The Jikei University School of Medicine, 3-25-8 Nishi-Shimbashi, Minato-ku, Tokyo, 105-8461, Japan

    Masaomi Kubota, Akira Watanabe, Tomoyuki Watanabe, Hideo Kono & Tadashi Nakano

  2. Department of Ophthalmology, The Jikei University School of Medicine Katsushika Medical Center, Tokyo, Japan

    Masaomi Kubota & Takaaki Hayashi

Authors
  1. Masaomi Kubota
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  2. Akira Watanabe
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  3. Tomoyuki Watanabe
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  4. Hideo Kono
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  5. Takaaki Hayashi
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  6. Tadashi Nakano
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Contributions

AW designed the study and assisted in the preparation of the manuscript. TW and HK have contributed to data collection and interpretation. All other authors critically reviewed the manuscript.

Corresponding author

Correspondence to Masaomi Kubota.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee [Japan Clinical Trials Register (http://www.umin.ac.jp/ctr/number, UMIN 000021814)] and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Kubota, M., Watanabe, A., Watanabe, T. et al. Complications of femtosecond laser-assisted cataract surgery combined with vitrectomy. Int Ophthalmol 40, 943–949 (2020). https://doi.org/10.1007/s10792-019-01266-7

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  • DOI: https://doi.org/10.1007/s10792-019-01266-7

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