Management of Small Pupils in Femtosecond-assisted Cataract Surgery Pretreatment

Femtosecond (FS) lasers are used in performing various steps of cataract procedure as a pretreatment to traditional phacoemulsification, including clear corneal incisions (CCI), arcuate keratotomies, anterior capsulotomies, and phacofragmentation. The limitations of utilizing FS technology in cataract surgery may be categorized into the inability to either achieve anterior segment imaging (owing to corneal opacities and small pupils) and/or FS laser delivery (owing to corneal opacities and white cataracts). This report discusses the feasibility of FS-assisted cataract surgery (FLACS) in eyes with small pupils.

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