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With femtosecond laser-assisted cataract surgery now, my answer is no. Even in routine cases, we observe a shift of the pupil center with dilation, so centration is never perfect with manual capsulotomy. With femtosecond lasers, we have the option to change the centration, and it is very precise. I always use the scanned capsule centration when possible. There are cases in which there is no question a perfect capsulotomy is key for the success of the surgery, such as patients (Read more...)
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