Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Pondicherry, India.
Indian J Ophthalmol. 2019 Oct;67(10):1744-1746. doi: 10.4103/ijo.IJO_1852_18.
Femtosecond laser-assisted cataract surgery was performed in a patient with high myopia, who had undergone posterior chamber phakic intraocular lens surgery (Implantable Collamer Lens, ICL). During docking the machine erroneously focused the laser on the anterior surface of ICL and laser for lens fragmentation was also defocused, which were correctly positioned before laser delivery. During laser application for capsulotomy, air bubbles were entrapped under the ICL prohibiting lens fragmentation. One must be careful during focusing the laser in eyes with ICL. Additionally, gas bubbles under the ICL may lead to difficulties in completion of nuclear disassembly.
飞秒激光辅助白内障手术在一位高度近视患者中进行，该患者曾行后房型有晶状体眼人工晶状体（可植入Collamer 晶状体，ICL）植入术。在对接机器时，机器错误地将激光聚焦在 ICL 的前表面，且用于晶状体粉碎的激光也失焦，而在激光传输之前这些均已正确定位。在进行囊切开术的激光应用过程中，气泡被困在 ICL 下，妨碍了晶状体粉碎。在有 ICL 的眼睛中进行激光聚焦时必须小心。此外，ICL 下的气泡可能导致核拆卸完成困难。
