TJ-CEO
2019 , Vol 14 , Num 3
An Unexpected Complication in Femtosecond Laser- Assisted Capsulotomy: Endothelial Hit and Cut
1Yrd. Doç. Dr., Bahçeşehir Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İstanbul, Türkiye2Prof. Dr., Dünya Göz Hastanesi, Etiler, İstanbul, Türkiye Femtosecond laser?assisted cataract surgery (FLACS) has become the safer surgical intervention in creation of precise anterior capsulotomy compared to the manual capsulorhexis by ophthalmologists in the past years. Herein, we report a corneal endothelial hit and cut complication during femtosecond laser?assisted capsulotomy. During the laser procedure the suction ring lost adhesion, but the laser continued to fi ring causing misaligned cut at the corneal endothelial layer. The cataract surgery was performed manually and an intraocular lens was implanted without any complication. The misaligned cuts along the inner layer of the cornea were visible at the postoperative period, but there were no visual consequences. The surgeon should be cautious in this unexpected and undesired complication at all critical steps during FLACS. Keywords : Femtosecond laser-assisted cataract surgery, FLACS capsulotomy complications, Corneal endothelial cut