
I am always happy to add new technologies to our surgery center and operating room because I like having more tools in my toolbox. But every new device has its set of potential complications and own learning curve. With a femtosecond laser the challenge is that the capsulotomy created in the anterior lens capsule is not as strong as a manually created capsulorhexis. This is because it has been created by using thousands of tiny laser spots which means the edge looks perforated like a postage stamp. Each of these spots could potentially run out and in the case presented here, that is exactly what happened. The intumescent white cataract also plays a role here since the capsular bag is pressurized. This experience caused our guest surgeon to proclaim, “I will never use the femto laser again for intumescent cataracts!” What do you think? Please comment below.
