title: Femtosecond laser-assisted cataract surgery in intumescent white cataracts.
abstract: OBJECTIVE
  To evaluate the feasibility and safety of femtosecond laser-assisted capsulotomy in eyes with intumescent white cataract.
  
  
  METHODS
  Ruhr University Eye Clinic, Bochum, Germany.
  
  
  METHODS
  Prospective clinical trial.
  
  
  METHODS
  After femtosecond laser-assisted capsulotomy (Catalys Precision system), phacoemulsification was performed using pulsed ultrasound energy and the effective phacoemulsification time was evaluated. The lenticular capsule disk was stained intraoperatively with trypan blue and pulled out using a microsurgical forceps for further analysis of form and shape.
  
  
  RESULTS
  Twenty-five eyes were included in this trial. Automatic optical coherence tomography detection of the anterior capsule was performed successfully in all eyes. Radial anterior tears occurred in 2 eyes, an adherent tongue-like capsule adhesion in 9 eyes, and an incomplete capsulotomy button in 3 eyes. In all cases, the intraocular lens was centered and the implantation was uneventful. The mean deviation from the target diameter of the extracted capsule disks was 60 μm ± 44 (SD).
  
  
  CONCLUSIONS
  The use of the femtosecond laser-assisted system for capsulotomy in surgery for intumescent white cataract appears to be safe and technically feasible.
authors.affiliation: From the Institute for Vision Science (Conrad-Hengerer, Joachim, Schultz, Dick), Ruhr University Eye Clinic, Bochum, and the Goethe University Eye Clinic (Hengerer), Frankfurt, Germany. Electronic address: ina.conrad-hengerer@kk-bochum.de.
authors.forename: Ina
authors.initials: I
authors.lastname: Conrad-Hengerer
authors.affiliation: From the Institute for Vision Science (Conrad-Hengerer, Joachim, Schultz, Dick), Ruhr University Eye Clinic, Bochum, and the Goethe University Eye Clinic (Hengerer), Frankfurt, Germany.
authors.forename: Fritz H
authors.initials: FH
authors.lastname: Hengerer
authors.affiliation: From the Institute for Vision Science (Conrad-Hengerer, Joachim, Schultz, Dick), Ruhr University Eye Clinic, Bochum, and the Goethe University Eye Clinic (Hengerer), Frankfurt, Germany.
authors.forename: Stephanie C
authors.initials: SC
authors.lastname: Joachim
authors.affiliation: From the Institute for Vision Science (Conrad-Hengerer, Joachim, Schultz, Dick), Ruhr University Eye Clinic, Bochum, and the Goethe University Eye Clinic (Hengerer), Frankfurt, Germany.
authors.forename: Tim
authors.initials: T
authors.lastname: Schultz
authors.affiliation: From the Institute for Vision Science (Conrad-Hengerer, Joachim, Schultz, Dick), Ruhr University Eye Clinic, Bochum, and the Goethe University Eye Clinic (Hengerer), Frankfurt, Germany.
authors.forename: H Burkhard
authors.initials: HB
authors.lastname: Dick
mesh_terms: D000368:Aged; D057866:Anterior Capsule of the Lens / Q000473:pathology; D002386:Cataract / Q000145:classification / Q000473:pathology*; D005260:Female; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D019654:Lens Implantation, Intraocular; D008297:Male; D018918:Phacoemulsification / Q000379:methods*; D064727:Posterior Capsulotomy; D011446:Prospective Studies; D012029:Refraction, Ocular / Q000502:physiology; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology