Efficacy of Femtosecond Laser-Assisted Cataract Surgery for Cataracts due to Atopic Dermatitis

We retrospectively evaluated the efficacy and safety of femtosecond laser-assisted cataract surgery (FLACS) for cataracts due to atopic dermatitis, which are often complicated by intumescent white cataract (IWC) and subcapsular fibrosis. Thirty-seven eyes of 30 cataract patients diagnosed with atopi...

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Main Authors: Kenichiro Yamazaki, Junko Yoneyama, Takahiko Hayashi, Ryuta Kimoto, Yuko Shibata, Tatsuya Mimura
Format: Article
Language:English
Published: Karger Publishers 2021-01-01
Series:Case Reports in Ophthalmology
Subjects:
Online Access:https://www.karger.com/Article/FullText/510346
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author Kenichiro Yamazaki
Junko Yoneyama
Takahiko Hayashi
Ryuta Kimoto
Yuko Shibata
Tatsuya Mimura
author_facet Kenichiro Yamazaki
Junko Yoneyama
Takahiko Hayashi
Ryuta Kimoto
Yuko Shibata
Tatsuya Mimura
author_sort Kenichiro Yamazaki
collection DOAJ
description We retrospectively evaluated the efficacy and safety of femtosecond laser-assisted cataract surgery (FLACS) for cataracts due to atopic dermatitis, which are often complicated by intumescent white cataract (IWC) and subcapsular fibrosis. Thirty-seven eyes of 30 cataract patients diagnosed with atopic dermatitis were included in the study. Nine eyes had IWC, and 13 eyes had anterior subcapsular fibrosis characteristic of atopic cataracts. Free-floating capsulotomy was achieved in 32 eyes (86%). Three eyes with fibrosis extending across the line of capsulotomy required manual excision. Incomplete capsulotomies due to anterior capsular tags were present in 4 eyes in the IWC group, which was significantly higher compared to non-IWC cases (p < 0.05). Radial anterior capsular tear, vitreous loss, and intraocular lens dislocation did not occur in any of the cases. FLACS can be performed safely in atopic cataract despite the presence of anterior subcapsular fibrosis and/or IWC.
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spelling doaj.art-b04565427aff4579808443f9da6481a22022-12-21T23:17:36ZengKarger PublishersCase Reports in Ophthalmology1663-26992021-01-01121414710.1159/000510346510346Efficacy of Femtosecond Laser-Assisted Cataract Surgery for Cataracts due to Atopic DermatitisKenichiro YamazakiJunko YoneyamaTakahiko HayashiRyuta KimotoYuko ShibataTatsuya MimuraWe retrospectively evaluated the efficacy and safety of femtosecond laser-assisted cataract surgery (FLACS) for cataracts due to atopic dermatitis, which are often complicated by intumescent white cataract (IWC) and subcapsular fibrosis. Thirty-seven eyes of 30 cataract patients diagnosed with atopic dermatitis were included in the study. Nine eyes had IWC, and 13 eyes had anterior subcapsular fibrosis characteristic of atopic cataracts. Free-floating capsulotomy was achieved in 32 eyes (86%). Three eyes with fibrosis extending across the line of capsulotomy required manual excision. Incomplete capsulotomies due to anterior capsular tags were present in 4 eyes in the IWC group, which was significantly higher compared to non-IWC cases (p < 0.05). Radial anterior capsular tear, vitreous loss, and intraocular lens dislocation did not occur in any of the cases. FLACS can be performed safely in atopic cataract despite the presence of anterior subcapsular fibrosis and/or IWC.https://www.karger.com/Article/FullText/510346atopic cataractcataract surgeryfemtosecond laser-assisted cataract surgery
spellingShingle Kenichiro Yamazaki
Junko Yoneyama
Takahiko Hayashi
Ryuta Kimoto
Yuko Shibata
Tatsuya Mimura
Efficacy of Femtosecond Laser-Assisted Cataract Surgery for Cataracts due to Atopic Dermatitis
Case Reports in Ophthalmology
atopic cataract
cataract surgery
femtosecond laser-assisted cataract surgery
title Efficacy of Femtosecond Laser-Assisted Cataract Surgery for Cataracts due to Atopic Dermatitis
title_full Efficacy of Femtosecond Laser-Assisted Cataract Surgery for Cataracts due to Atopic Dermatitis
title_fullStr Efficacy of Femtosecond Laser-Assisted Cataract Surgery for Cataracts due to Atopic Dermatitis
title_full_unstemmed Efficacy of Femtosecond Laser-Assisted Cataract Surgery for Cataracts due to Atopic Dermatitis
title_short Efficacy of Femtosecond Laser-Assisted Cataract Surgery for Cataracts due to Atopic Dermatitis
title_sort efficacy of femtosecond laser assisted cataract surgery for cataracts due to atopic dermatitis
topic atopic cataract
cataract surgery
femtosecond laser-assisted cataract surgery
url https://www.karger.com/Article/FullText/510346
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