Preserving Capsular Integrity With FLACS

Scott E. LaBorwit, MD

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Femtosecond laser-assisted cataract surgery (FLACS) can allow less stress on the capsular bag and zonules during nuclear removal of the lens. This video demonstrates a technique maximizing the benefits of the laser cuts as an advantage in lens removal with little to no force on the capsular bag.

Posted: 1/11/2019

Keywords:

Femtosecond Laser Refractive Cataract Surgery

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Scott E. LaBorwit, MD

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Name: Preserving Capsular Integrity With FLACS
Uploaded: 2019-01-11T11:23:00+00:00
Description: Femtosecond laser-assisted cataract surgery (FLACS) can allow less stress on the capsular bag and zonules during nuclear removal of the lens. This video demonstrates a technique maximizing the benefits of the laser cuts as an advantage in lens removal with little to no force on the capsular bag.

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Preserving Capsular Integrity With FLACS

Scott E. LaBorwit, MD

Posted: 1/11/2019

Keywords:

Femtosecond Laser Refractive Cataract Surgery

•

Scott E. LaBorwit, MD

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Comments

Richard Foulkes

1 year ago

Well done Scott. Your suggestion that a freely rotating lens isn’t necessary and may risk zonular tearing or stretching is important. Of course a well executed hydro dissection will free most lenses without “torquing” the bag. In this case I think there was a bit of rotational torquing, by habit I suspect, when you moved your proximal quadrants. I have found that a gentle “nudge” forward to free the fragment avoids the torquing and often liberates both pieces..give it a try. FLACS remains a personal choice and my skill set is weakened a bit with no advantage and some downsides. The interesting tools like Zepto, Micor, MiLoop seem to offer more obvious advantages without this enormous costly time consuming tech. In the end your belief in providing the best for your patient should drive whatever method you choose.

Preserving Capsular Integrity With FLACS

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Preserving Capsular Integrity With FLACS

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