Inspection of the lens thickness with preoperative biometric measurements prevents an erroneous interpretation of posterior capsule during FLACS

Abstract Optical opacity reduces quality of biometry images, making it potentially difficult to find the correct location for irradiation during femtosecond laser-assisted cataract surgery (FLACS). After experiencing a case of posterior capsule (PC) rupture because of optical opacity, we started len...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Mei Kurosawa, Hiroshi Horiguchi, Takuya Shiba, Tadashi Nakano
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b3428de8b3ad436bb64b5766a8a9bce2
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:b3428de8b3ad436bb64b5766a8a9bce2
record_format	dspace
spelling	oai:doaj.org-article:b3428de8b3ad436bb64b5766a8a9bce22021-12-02T14:49:26ZInspection of the lens thickness with preoperative biometric measurements prevents an erroneous interpretation of posterior capsule during FLACS10.1038/s41598-021-89209-02045-2322https://doaj.org/article/b3428de8b3ad436bb64b5766a8a9bce22021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89209-0https://doaj.org/toc/2045-2322Abstract Optical opacity reduces quality of biometry images, making it potentially difficult to find the correct location for irradiation during femtosecond laser-assisted cataract surgery (FLACS). After experiencing a case of posterior capsule (PC) rupture because of optical opacity, we started lens thickness (LT) inspection, which indicates comparison of between intra- and pre-operatively measured LT. We retrospectively investigated the effectiveness of the LT inspection. One observer reviewed all FLACS treatment summaries for 3 years by CATALYS in the Jikei University Hospital, Tokyo. Based on the lines defining the PC on intraoperative OCT images, all cases were classified into three groups: undescribed, appropriate and inappropriate PC. Among the 1070 cases, 1047 cases had appropriate PC. In 19 cases, the PC line was undescribed because of dense cataract. Among 474 cases with no inspection, 4 cases had an inappropriate PC. Whereas, in 596 cases with the LT inspection, there was no case of an inappropriate PC. LT inspection significantly reduced the cases with inappropriate PC. The safety margins normally work to prevent severe complications. However, rare outlier cases had a high risk of severe complications. We propose LT inspection could be the most practical and convenient way for safety surgery.Mei KurosawaHiroshi HoriguchiTakuya ShibaTadashi NakanoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Mei Kurosawa Hiroshi Horiguchi Takuya Shiba Tadashi Nakano Inspection of the lens thickness with preoperative biometric measurements prevents an erroneous interpretation of posterior capsule during FLACS
description	Abstract Optical opacity reduces quality of biometry images, making it potentially difficult to find the correct location for irradiation during femtosecond laser-assisted cataract surgery (FLACS). After experiencing a case of posterior capsule (PC) rupture because of optical opacity, we started lens thickness (LT) inspection, which indicates comparison of between intra- and pre-operatively measured LT. We retrospectively investigated the effectiveness of the LT inspection. One observer reviewed all FLACS treatment summaries for 3 years by CATALYS in the Jikei University Hospital, Tokyo. Based on the lines defining the PC on intraoperative OCT images, all cases were classified into three groups: undescribed, appropriate and inappropriate PC. Among the 1070 cases, 1047 cases had appropriate PC. In 19 cases, the PC line was undescribed because of dense cataract. Among 474 cases with no inspection, 4 cases had an inappropriate PC. Whereas, in 596 cases with the LT inspection, there was no case of an inappropriate PC. LT inspection significantly reduced the cases with inappropriate PC. The safety margins normally work to prevent severe complications. However, rare outlier cases had a high risk of severe complications. We propose LT inspection could be the most practical and convenient way for safety surgery.
format	article
author	Mei Kurosawa Hiroshi Horiguchi Takuya Shiba Tadashi Nakano
author_facet	Mei Kurosawa Hiroshi Horiguchi Takuya Shiba Tadashi Nakano
author_sort	Mei Kurosawa
title	Inspection of the lens thickness with preoperative biometric measurements prevents an erroneous interpretation of posterior capsule during FLACS
title_short	Inspection of the lens thickness with preoperative biometric measurements prevents an erroneous interpretation of posterior capsule during FLACS
title_full	Inspection of the lens thickness with preoperative biometric measurements prevents an erroneous interpretation of posterior capsule during FLACS
title_fullStr	Inspection of the lens thickness with preoperative biometric measurements prevents an erroneous interpretation of posterior capsule during FLACS
title_full_unstemmed	Inspection of the lens thickness with preoperative biometric measurements prevents an erroneous interpretation of posterior capsule during FLACS
title_sort	inspection of the lens thickness with preoperative biometric measurements prevents an erroneous interpretation of posterior capsule during flacs
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/b3428de8b3ad436bb64b5766a8a9bce2
work_keys_str_mv	AT meikurosawa inspectionofthelensthicknesswithpreoperativebiometricmeasurementspreventsanerroneousinterpretationofposteriorcapsuleduringflacs AT hiroshihoriguchi inspectionofthelensthicknesswithpreoperativebiometricmeasurementspreventsanerroneousinterpretationofposteriorcapsuleduringflacs AT takuyashiba inspectionofthelensthicknesswithpreoperativebiometricmeasurementspreventsanerroneousinterpretationofposteriorcapsuleduringflacs AT tadashinakano inspectionofthelensthicknesswithpreoperativebiometricmeasurementspreventsanerroneousinterpretationofposteriorcapsuleduringflacs
_version_	1718389468609642496

Inspection of the lens thickness with preoperative biometric measurements prevents an erroneous interpretation of posterior capsule during FLACS

Ejemplares similares