Femtosecond Laser Assisted Cataract Surgery after Deep Lamellar Keratoplasty: Case Report
|Sherif S Tolees*, Alaa M El-Danasoury and Ayman N Hashem|
|Magrabi Eye Hospital, Jeddah, Saudi Arabia|
|Corresponding Author :||Sherif S Tolees MD, FRCS
Magrabi Eye Hospital, Makka Rd, Kilo 3
Khozzam St, Jeddah, P.O.Box 7344
Jeddah 21462, Kingdom of Saudi Arabia
E-mail: [email protected]
|Received: June 18, 2014; Accepted: July 26, 2014; Published: July 31, 2014|
|Citation: Tolees SS, El-Danasoury AM, Hashem A (2014) Femtosecond Laser Assisted Cataract Surgery after Deep Lamellar Keratoplasty: Case Report. J Clin Exp Ophthalmol 5:348. doi:10.4172/2155-9570.1000348|
|Copyright: © 2014 Tolees SS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Purpose: To report 2 cases that underwent deep anterior lamellar keratoplasty (DALK) and developed visually significant cataract and subsequently underwent femtosecond laser assisted cataract surgery (FLACS).
Methods: Both patients underwent FLACS with implantation of toric intraocular lens (IOL) for correction of postkeratoplasty astigmatism. Capsulorrhexis was performed with the femtosecond laser; the nucleus was fragmented and aspirated. Three corneal incisions were performed with the femtosecond laser. In the second case, the angle of the side ports was changed to create a more vertical incision.
Results: The preoperative endothelial cell count (ECC) was 1943 and 2446 cells/mm3 for the 1st and 2nd cases respectively and, 1860 and 2356 cell/mm3 for the 1st and 2nd cases postoperatively. At 6 months postoperatively, uncorrected distance visual acuity was 20/30 and 20/20 for the 1st and 2nd cases respectively.
Conclusion: Femtolaser treatment of the crystalline lens may increase safety of the surgery in patients underwent deep anterior lamellar keratoplasty (DALK).