Back to Journals » Clinical Ophthalmology » Volume 13

Architecture evaluation of the main clear corneal incisions in femtosecond laser-assisted cataract surgery by optical coherence tomography imaging

Authors Chaves MAPD, de Medeiros AL, Vilar CMC, Magalhães KRP, Gonçalves MR, Tzelikis PFM, Hida WT, Carricondo PC, Alves MR

Received 16 August 2018

Accepted for publication 14 December 2018

Published 14 February 2019 Volume 2019:13 Pages 365—372

DOI https://doi.org/10.2147/OPTH.S184024

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Amy Norman

Peer reviewer comments 4

Editor who approved publication: Dr Scott Fraser


Mario Augusto Pereira Dias Chaves,1–3 André Lins de Medeiros,1,2 César Martins Cortez Vilar,1,2,4 Klayne Rafaella Pereira Magalhães,2 Michelle Rodrigues Gonçalves,3 Patrick Frenzel de Moraes Tzelikis,1,2,5 Wilson Takashi Hida,1,2,5,6 Pedro Carlos Carricondo,2,5 Milton Ruiz Alves2,5

1Brasília Ophthalmologic Hospital (HOB), Department of Cataract, João Pessoa, Paraíba, Brazil; 2Renato Ambrosio Ophthalmologic Study Center (CEORA), Brasília, Federal District, Brazil; 3Provisão Paraíba Ophthalmologic Hospital, João Pessoa, Paraíba, Brazil; 4Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, TX, USA; 5São Paulo University School of Medicine (FM-USP), Department of Ophthalmology, São Paulo, Brazil; 6São Paulo Federal University of School of Medicine (UNIFESP), Department of Ophthalmology, São Paulo, Brazil

Purpose: To assess the stability and reliability of femtosecond laser-assisted cataract surgery (FLACS) incisions design and dimensions using anterior segment optical coherence tomography (AS-OCT) imaging.
Setting: Renato Ambrósio Ophthalmologic Study Center from Hospital Oftalmológico de Brasília, Brasília, Brazil.
Design: Prospective nonrandomized controlled case series.
Methods: Eyes undergoing FLACS with triplanar main temporal clear corneal incision (CCI) were evaluated at the end of the case. Eyes that required any incision hydration, surgical complications or lacked follow-up were excluded. The AS-OCT was performed after femtosecond delivery; at the end of the case; at 1 day and at 30 days after surgery. Data of pachymetry, endothelial and epithelial gaps, Descemet detachment and CCI architecture were compared.
Results: Eleven eyes from 11 patients completed follow-up. Corneal thickness was statistically different between after femtosecond delivery and the end of the case (P-value <0.05), but without difference compared to 30 days evaluation. There was an increase of Descemet detachments (P-value <0.05) and endothelial gaps (P-value =0.0133) at the end of the case compared to post-femtosecond delivery. As for the architecture of the CCI, significant difference was found between the parameters of entry angle and exit angle measured with AS-OCT and the programmed.
Conclusion: The AS-OCT was capable of visualizing changes in the cornea at the CCI. Despite the stress caused by manipulation, results indicated good stability of incision and reproducibility of tunnel length.
Synopsis: Difference of corneal thickness at the CCI between after femtosecond and after phacoemulsification measurements (P-value <0.05), with increase of endothelial gaps (P-value =0.0133) and Descemet detachments (P-value <0.05).

Keywords: femtosecond, incisions, cataract, pachymetry, optical coherence tomography
 

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]