title: Femtosecond cataract laser capsulotomy enabling optic capture and secondary sulcus iol insertion in an eye with traumatic aniridia and aphakia.
abstract: OBJECTIVE
  To describe a surgical technique and intraoperative modifications to create a secondary capsulotomy using the femtosecond cataract laser in an eye with traumatic aphakia and aniridia.
  
  
  METHODS
  The expanded use of the femtosecond cataract laser (Catalys Precision Laser System; Optimedica, Sunnyvale, CA) for creation of a well-centered and circular secondary capsulotomy in the capsular remnants of an eye with traumatic aphakia and aniridia.
  
  
  RESULTS
  Using software modifications based on intraoperative anterior segment spectral-domain optical coherence tomography imaging, and customizing the capsulotomy settings, the femtosecond cataract laser was able to penetrate through most of the fused anterior and posterior capsular leaflets and a circular capsulotomy was achieved. The latter permitted optic capture and excellent centration of a three-piece intraocular lens placed in the sulcus with good postoperative visual rehabilitation.
  
  
  CONCLUSIONS
  The femtosecond cataract laser can be customized to create a well-centered and circular secondary capsulotomy in aniridic and aphakic eyes where optic capture is critical for long-term intraocular lens stability.
authors: Dilraj S
authors: DS
authors: Grewal
authors: Surendra
authors: S
authors: Basti
mesh_terms: D015783:Aniridia / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D001036:Aphakia, Postcataract / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D002387:Cataract Extraction / Q000379:methods*; D015807:Eye Injuries, Penetrating / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007498:Iris / Q000293:injuries; D054018:Lasers, Excimer / Q000627:therapeutic use*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007908:Lens, Crystalline / Q000293:injuries; D008297:Male; D008875:Middle Aged; D064727:Posterior Capsulotomy; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology