Femtosecond laser-assisted cataract surgery in management of phacomorphic glaucoma

Kinga Kránitz, Ágnes Ildikó Takács, Andrea Gyenes, Tamás Filkorn, Róbert Gergely, Illés Kovács, Zoltán Zsolt Nagy

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28 Citations (Scopus)

Abstract

PURPOSE: To report the use of femtosecond laserassisted cataract surgery in management of phacomorphic glaucoma. METHODS: An 89-year-old patient developed acute phacomorphic glaucoma in her right eye with elevated intraocular pressure (62 mm Hg), shallow anterior chamber, and mature cataract. After conservative antiglaucoma therapy and Nd:YAG iridotomy, femtosecond laser-assisted cataract surgery was performed. A Malyugin ring was implanted for mechanical pupil dilatation and a 4.8-mm capsulorrhexis and lens fragmentation was performed using a femtosecond laser system (Alcon LenSx Inc., Aliso Viejo, CA) followed by in-the-bag intraocular lens implantation. RESULTS: Intact 4.8-mm capsulorrhexis and successful lens fragmentation could be performed using femtosecond laser. After cataract surgery, the patient's visual acuity increased from hand motions to 0.4 (Snellen 4/10) and the intraocular pressure returned to normal range without antiglaucoma drop therapy. CONCLUSIONS: The results indicate that femtosecond laser can be successfully used in certain cases of phacomorphic glaucoma, even if mechanical pupil dilatation is needed.

Original languageEnglish
Pages (from-to)645-648
Number of pages4
JournalJournal of Refractive Surgery
Volume29
Issue number9
DOIs
Publication statusPublished - Sep 1 2013

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ASJC Scopus subject areas

  • Surgery
  • Ophthalmology

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