A Modified Femtosecond Laser Technique for Anterior Capsule Contraction Syndrome

Marco Marenco; Pietro Mangiantini; Luca Scuderi; Alessandro Lambiase; Marta Sacchetti

doi:10.1155/2020/9423267

A Modified Femtosecond Laser Technique for Anterior Capsule Contraction Syndrome

J Ophthalmol. 2020 Dec 24:2020:9423267. doi: 10.1155/2020/9423267. eCollection 2020.

Authors

Marco Marenco¹, Pietro Mangiantini¹, Luca Scuderi¹, Alessandro Lambiase¹, Marta Sacchetti¹

Affiliation

¹ Department of Sense Organs, University Sapienza of Rome, Rome, Italy.

Abstract

Anterior capsule contraction syndrome (ACCS) is a rare, late complication of cataract surgery, associated with impairment of visual function. In this paper, we describe a new surgical technique to treat ACCS by femtosecond laser procedure. The femtosecond laser was used to perform an anterior capsulotomy with a customized size, in order to avoid IOL damage. After ophthalmic viscosurgical device injection in the anterior chamber, the anterior capsule flap was separated from the IOL surface by gentle hydrodissection. This manoeuvre enabled an easy and safe removal of the fibrotic material by vitreal microscissors. Our technique allowed a complete removal of the fibrotic material and opening of the capsule, with immediate complete visual acuity recovery without IOL damage. In conclusion, femtosecond laser appears to be safe and effective for treatment of ACCS with long-lasting efficacy.