Intraocular lens fixated in the anterior capsulotomy created in the line of sight by a femtosecond laser.

Abstract

To describe a new surgical technique and a new generation of foldable, hydrophilic acrylate intraocular lenses available for femtosecond laser-assisted capsulotomy. After femtosecond laser-assisted capsulotomy (diameter: 5.2 mm) and lens fragmentation, the new intraocular lens (90F; Morcher GmbH, Stuttgart, Germany) was implanted in the capsular bag. Three-dimensional spectral-domain optical coherence tomography scanned the anterior and posterior capsules to create the position of the anterior capsulotomy. The anterior capsulotomy rim was positioned in the flank of the intraocular lens optic. Distance visual acuity, refractive outcome, and anterior chamber depth were measured at 1 week and 1 month postoperatively. No complications were observed at the 1-month follow-up in 6 eyes of 6 patients. No statistically significant changes in anterior chamber depth and refraction were observed at 1 week and 1 month postoperatively. Image-guided femtosecond lasers can perform a capsulotomy with a predictable size and position according to the line of sight. After implanting the 90F intraocular lens, the final effective lens position can be achieved sooner and may allow more predictable refractive outcomes.