ESCRS - PO060 - SELECTIVE LASER CAPSULOTOMY (CAPSULASER) FOR PEDIATRIC CATARACT SURGERY

SELECTIVE LASER CAPSULOTOMY (CAPSULASER) FOR PEDIATRIC CATARACT SURGERY

Published 2025 - 29th ESCRS Winter Meeting

Reference: PO060 | Type: Free Paper | DOI: 10.82333/z079-jk38

Authors: Ahmed Samir* 1 , Mohamed Elday 2

1Zagazig University , ZagazigaZ ZagazigaZ,Egypt, 2Magrabi , JeddahdeJ,Saudi Arabia

Purpose

To evaluate the efficacy, safety, and precision of Capsulaser-assisted anterior capsulotomy in pediatric cataract surgery. Pediatric cataract procedures present unique challenges due to the elasticity and thickness of the capsule, necessitating enhanced precision for optimal outcomes. This study aims to determine if Capsulaser can offer better control, consistency, and reduced complication rates compared to traditional manual techniques.

Setting

Magrabi Eye Center 

Methods

This prospective study included [18] pediatric patients with congenital or developmental cataracts. All patients underwent Capsulaser-assisted anterior capsulotomy as part of their cataract surgery. Key parameters evaluated were the precision of and posterior capsulotomy size and shape, intraoperative stability, surgical time, and postoperative outcomes. Complications, such as capsular tears or extensions, were documented and analyzed. Patients were followed for a minimum of [12] months postoperatively, with assessments of visual acuity, IOL stability, and potential adverse events.

Results

Capsulaser-assisted capsulotomies showed a high degree of precision in size and circularity, with achieving ideal capsulotomy margins. Surgical time was reduced by compared to the traditional technique, and intraoperative stability was maintained throughout the procedure. The incidence of capsular tears or extensions was nil in the Capsulaser group, compared to  literature data. Postoperative visual acuity improvements were observed with stable IOL positioning and no significant adverse effects noted during the follow-up period.

Conclusion

Capsulaser technology in pediatric cataract surgery offers a promising approach for achieving precise, consistent capsulotomies, potentially improving outcomes and reducing intraoperative complications. This technique may be particularly advantageous in pediatric patients, where capsular properties often complicate traditional methods. Further studies with larger sample sizes are recommended to validate these findings