Efficacy of Femtosecond Laser-Assisted Cataract Surgery for Cataracts due to Atopic Dermatitis

Kenichiro Yamazaki; Junko Yoneyama; Takahiko Hayashi; Ryuta Kimoto; Yuko Shibata; Tatsuya Mimura

doi:10.1159/000510346

Efficacy of Femtosecond Laser-Assisted Cataract Surgery for Cataracts due to Atopic Dermatitis

Case Rep Ophthalmol. 2021 Jan 11;12(1):41-47. doi: 10.1159/000510346. eCollection 2021 Jan-Apr.

Authors

Kenichiro Yamazaki¹, Junko Yoneyama¹, Takahiko Hayashi², Ryuta Kimoto¹, Yuko Shibata¹, Tatsuya Mimura³

Affiliations

¹ Omiya Nanasato Eye Institute, Saitama City, Japan.
² Department of Ophthalmology, Yokohama Minami Kyosai Hospital, Yokohama City, Japan.
³ Department of Ophthalmology, Teikyo University, Tokyo, Japan.

Abstract

We retrospectively evaluated the efficacy and safety of femtosecond laser-assisted cataract surgery (FLACS) for cataracts due to atopic dermatitis, which are often complicated by intumescent white cataract (IWC) and subcapsular fibrosis. Thirty-seven eyes of 30 cataract patients diagnosed with atopic dermatitis were included in the study. Nine eyes had IWC, and 13 eyes had anterior subcapsular fibrosis characteristic of atopic cataracts. Free-floating capsulotomy was achieved in 32 eyes (86%). Three eyes with fibrosis extending across the line of capsulotomy required manual excision. Incomplete capsulotomies due to anterior capsular tags were present in 4 eyes in the IWC group, which was significantly higher compared to non-IWC cases (p < 0.05). Radial anterior capsular tear, vitreous loss, and intraocular lens dislocation did not occur in any of the cases. FLACS can be performed safely in atopic cataract despite the presence of anterior subcapsular fibrosis and/or IWC.

Keywords: Atopic cataract; Cataract surgery; Femtosecond laser-assisted cataract surgery.

Publication types

Case Reports