Abstract
Purpose. To optimize the technique for the femtosecond laser-assisted anterior capsulorhexis creation in anterior capsular fibrosis. Material and methods. All patients were divided into two groups: group I included 12 patients with central and peripheral anterior capsule fibrosis who underwent anterior circular capsulorhexis creation using femtosecond laser LensX (Alcon, USA) with laser energy 10 and 15 μJ. Group II included 11 patients with central and peripheral anterior capsule fibrosis who underwent manual capsulorhexis. Results. In group II the operative complications occurred in 3 cases (27.3%), group I was uneventful. Conclusion. Femtosecond laser-assisted anterior capsulorhexis creation in patients with anterior capsule fibrosis allowed reducing the number of operative complications by 27% in comparison with manual capsulorhexis creation. It is advisable to use 10 μJ power to create the anterior capsulorhexis in the area of unaffected and slightly fibrotic anterior capsule cutting the fibrotic part of the anterior capsule by collet scissors. Key words: anterior capsolorhexis, fibrosis, anterior capsule.
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