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Capsulotomy and Lens Fragmentation

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Current Advances in Ocular Surgery

Part of the book series: Current Practices in Ophthalmology ((CUPROP))

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Abstract

Two of the most important steps in successful cataract surgery are capsulotomy and nuclear disassembly. As cataract surgery continues to progress in safety and efficacy, new devices and techniques to create a perfectly sized and centered capsulotomy emerge. Femtosecond laser assisted capsulotomy allows surgeons to automate anterior capsulotomy and eliminate any variability associated with a manual capsulotomy. Precision pulse capsulotomy provides a similar advantage without introducing any additional complications. Similarly, nuclear disassembly techniques and adjunct technology has been developed with the goal of reducing zonular stress and phacoemulsification energy. Femtosecond laser lens fragmentation may help avoid endothelial cell damage and zonular dehiscence, but comes with both a financial and time burden. A micro-interventional lens fragmentation device may also help with reducing the energy required to remove dense lens nuclei without being economically burdensome.

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Authors and Affiliations

  1. Diagnostic Eye Center, Houston, TX, USA

    Andres Parra

  2. University of Southern California, Roski Eye Institute, Los Angeles, CA, USA

    Joseph Tran

  3. Stein Eye Institute, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA

    Mitra Nejad

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  1. Andres Parra
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  2. Joseph Tran
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Correspondence to Mitra Nejad .

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Editors and Affiliations

  1. Stein Eye Institute, University of California, Los Angeles, Los Angeles, CA, USA

    Edmund Tsui

  2. Stein Eye Institute, University of California, Los Angeles, Los Angeles, CA, USA

    Simon S. M. Fung

  3. Department of Ophthalmology, Massachusetts Eye and Ear Harvard Medical School, Boston, MA, USA

    Rohan Bir Singh

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Parra, A., Tran, J., Nejad, M. (2023). Capsulotomy and Lens Fragmentation. In: Tsui, E., Fung, S.S.M., Singh, R.B. (eds) Current Advances in Ocular Surgery. Current Practices in Ophthalmology. Springer, Singapore. https://doi.org/10.1007/978-981-99-1661-0_3

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  • DOI: https://doi.org/10.1007/978-981-99-1661-0_3

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