VI. SPECIAL CONSIDERATION FOR LASER CATARACT SURGERY
As of this writing refractive laser-assisted cataract surgery (ReLACS) is just entering the marketplace. Although much is yet to be learned, the authors have significant early experience with ReLACS and can share some preoperative evaluative thoughts.
The biggest difference using ReLACS is docking the patient interface to the eye with suction. Although, not difficult, it is a new approach for nonrefractive surgeons. Factors that limit the ability to achieve an adequate dock include deep orbits, flat corneas, irregular corneas, pterygia, narrow interpalpebral fissures, excessive conjunctiva, or a patient who squeezes his or her eyes.
ReLACS can be used in cases with loose zonules to minimize lens manipulation and in the setting of Fuchs’ dystrophy to minimize phacoemulsification energy to help preserve endothelial cells.
*Dikutip dari Buku Essentials of Cataract Surgery 2nd Ed, halaman 23