Anterior capsule contraction treated by femtosecond laser capsulotomy.
OBJECTIVE
To describe a new method to treat severe anterior capsule contraction using a femtosecond laser anterior capsulotomy.


METHODS
Case report.


RESULTS
A 48-year-old woman with a history of myotonic dystrophy experienced a severe contraction of the anterior capsule following an uneventful phacoemulsification cataract surgery with a hydrophilic acrylic intraocular lens implanted in the capsular bag. A femtosecond laser anterior capsulotomy was performed using a non-applanating fluid-filled interface. The spectral-domain optical coherence tomography imaging system associated with the laser enabled precise centration and location of the capsulotomy with a posterior cut located between the anterior surface of the intraocular lens and the anterior capsule inner surface. The free-floating capsulotomy was easily removed after the laser procedure, and 8 days postoperatively visual acuity recovered and myopic shift regressed with an intraocular lens centered in the capsular bag.


CONCLUSIONS
Femtosecond laser assisted by a high-resolution imaging system appears to be a safe and efficient treatment for severe anterior capsule contraction.
Cedric
C
Schweitzer
Laury
L
Tellouck
Thibaut
T
Gaboriau
François
F
Leger
D057866:Anterior Capsule of the Lens / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D057910:Implant Capsular Contracture / Q000209:etiology / Q000601:surgery*; D053685:Laser Therapy / Q000379:methods*; D019654:Lens Implantation, Intraocular; D008875:Middle Aged; D018918:Phacoemulsification; D011183:Postoperative Complications; D041623:Tomography, Optical Coherence; D014792:Visual Acuity