Journal Reading

Femtosecond laser-assisted cataract surgery for the

white cataract
Abstrak

Tujuan

Untuk melaporkan hasil capsulotomy dan fragentasi lensa dari katarak putih yang dilakukan
tindakan laser femtosecond

Metode

Hasil pengamatan secara prospektif, kasus katarak putih berturut-turut (Juni 2012 –
November 2016) yang menjalani FL-assised cataract surgery (FLACS) di Pusat Mata Nasional
Singapura yang dipakai untuk diaudit. Data yang dikumpulkan: demografi pasien, jenis
katarak putih, tingkat docking, kapsul anterior posisi setelah laser, kelengkapan kapsulotomi
dan fragmentasi, ketajaman visual terkoreksi terbaik pada 1 bulan(BCVA), komplikasi
intraoperatif. Hasil tindakan: integritas kapsulotomi, fragmentasi kapabilitas dan BCVA pada
1 bulan.

Hasil

58 mata dari 54 pasien menjalani FLACS. Jenis katarak putih termasuk putih kering (24
mata), intumescent (28 mata) dan Morgagnian (6 mata). Docking sejajar di 22 mata (38,6%).
Mengikuti FL, tingkat kapsul anterior turun di 20 mata (34,5%). Kapsulotomi tidak lengkap
terjadi pada 10 mata (17,2%). Fragmentasi lensa yang dilakukan pada 38 mata ternyata
efektif atau efektif sebagian pada 31 mata (81,6%). Tidak terjadi robekan kapsul anterior
maupun posterior. BCVA LogMAR pada 1 bulan adalah 0,073 (SD 0,09). Faktor risiko untuk
kapsulotomi tidak lengkap adalah katarak Morgagnian dan ketebalan lensa (regresi logistik
ganda,p <0,01 dan p = 0,03, masing-masing).

Kesimpulan

Komplikasi utama FLACS di katarak putih adalah kapsulotomi tidak lengkap (17,2%), secara
signifikan terkait dengan katarak Morgagnian dan peningkatan ketebalan lensa. Fragmentasi
lensa itu terjadi pada empat perlima katarak putih tetapi harus dihindari pada katarak
Morgagnian karena kemungkinan overlap dengan rencana fragmentasi lensa dan kapsul
anterior.

Referensi
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