Two-step femtosecond procedure helps manage capsulotomy in intumescent cataract

VIENNA — A two-step femtosecond laser-assisted technique offers a safe way of performing capsulotomy in intumescent cataract, avoiding intraoperative complications.
“Intumescent cataract is a big challenge because you have no red reflex, you have a higher intralenticular pressure and also fluid exiting the lens, which makes the vision blurry,” Sebastian Hoffmann, MD, said at the European Society of Cataract and Refractive Surgeons meeting.
Intumescent cataract surgery has an elevated complication profile, with a high risk for anterior capsular tear and Argentinian flag sign,