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6. FLACS in Congenital Iris Coloboma: A Useful Technique

Author

Balamoun, Ashraf Armia and El Bahrawy, Mohamed

Subjects
genetic structures, cataract, Case Report, sense organs, iris coloboma, eye diseases, FLACS
Abstract

This paper reports the technique and outcome of femtosecond laser-assisted cataract surgery (FLACS) in an iris coloboma patient (59-year-old male patient) with bilateral grade 3 cataractous lens and a shallow anterior chamber. Best-corrected visual acuity (BCVA) was 0 on logMAR with spherical equivalent (SE) 9 D in the right eye, and BCVA of 0.3 logMAR with a SE 8.75 D in the left. FLACS was performed on the left then the right eye using the Catalys platform of Johnson & Johnson (intraocular lens implantation of AMO Tecnis 1 ZCB00). Customized parameters were constructed to create capsulotomies of 4.54.7 mm for the left and right eyes, respectively, with manual centration of the distorted pupils. On the second day of follow-up, left-eye BCVA was 0.5 with SE 1 D, and right-eye BCVA was 1 with SE −0.75 D. At the 1-year follow-up, eyes showed stable bilateral Tecnis 1 IOL and refraction. FLACS is a safe surgical option with stable outcomes in cases of cataract with iris coloboma.

Published
2020

7. FLACS in Congenital Iris Coloboma: A Useful Technique

Author

Balamoun,Ashraf Armia, El Bahrawy,Mohamed, Balamoun,Ashraf Armia, and El Bahrawy,Mohamed

Abstract

Ashraf Armia Balamoun,1,2 Mohamed El Bahrawy1,2 1Al Watany Eye Hospital (WEH), Cairo, Egypt; 2Watany Research and Development Center (WRDC), Cairo, EgyptCorrespondence: Ashraf Armia Balamoun 13 El Ebour Buildings, Salah Salem Street, Heliopolis, Cairo 11371, Egypt, Tel +20 12-2314-2814Email ashrafarmia@gmail.comAbstract: This paper reports the technique and outcome of femtosecond laser-assisted cataract surgery (FLACS) in an iris coloboma patient (59-year-old male patient) with bilateral grade 3 cataractous lens and a shallow anterior chamber. Best-corrected visual acuity (BCVA) was 0 on logMAR with spherical equivalent (SE) 9 D in the right eye, and BCVA of 0.3 logMAR with a SE 8.75 D in the left. FLACS was performed on the left then the right eye using the Catalys platform of Johnson & Johnson (intraocular lens implantation of AMO Tecnis 1 ZCB00). Customized parameters were constructed to create capsulotomies of 4.54.7 mm for the left and right eyes, respectively, with manual centration of the distorted pupils. On the second day of follow-up, left-eye BCVA was 0.5 with SE 1 D, and right-eye BCVA was 1 with SE − 0.75 D. At the 1-year follow-up, eyes showed stable bilateral Tecnis 1 IOL and refraction. FLACS is a safe surgical option with stable outcomes in cases of cataract with iris coloboma.Keywords: FLACS, cataract, iris coloboma

Published
2020

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