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Bulgarian Review of Ophthalmology

Femtosecond laser assisted cataract surgery in intumescent cataract

V. Kostalevska, A. Topov


Purpose: To present the efficacy and safety of femtosecond laser-assisted anterior capsulotomy in eyes with intumescent cataract.

Methods: There was done a combined cataract surgery as the corneal incisions and the capsulotomy were made by femtosecond laser (LenSx, Alcon) and the following phacoemulsification by Infinity machine (Alcon.)

Results: We operated three patients (3 eyes). Two of them were women and one man at average age 67 years. The size of the capsulotomy was 5,5 mm as it was completely free without presence of bridges in all cases. There were not observed any radial ruptures of the anterior capsule or other complications.

Conclusion: We consider that femtosecond laser may create secure, full 360 degree, circular capsulotomy without risk of irregularity or radial extension in mature cataract.


femtosecond laser-assisted cataract surgery; intumescent cataract; anterior capsulotomy

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About The Authors

V. Kostalevska
Eye clinic, Tokuda Hospital - Sofia

A. Topov
Eye clinic, Tokuda Hospital - Sofia