Lisa B. Arbisser, MD, explains why primary posterior optic capture should be routine in cataract surgery and describes her technique.
Reviewed by Lisa B. Arbisser, MD
Hyaloid-Sparing primary posterior optic capture should one day be routine in cataract surgery because it enables patients to maintain the best possible vision with a one-time only procedure, according to Lisa B. Arbisser, MD.
“Posterior optic capture with IOL haptics in the bag and the optic prolapsed through a posterior capsulotomy into Berger’s space allows a clear visual axis for life even when done in the pediatric age group without anterior vitrectomy and in all adults, truly turning cataract surgery into a premium procedure,” said Dr. Arbisser, adjunct professor, Moran Eye Center, University of Utah, Salt Lake City.
This technique reduces retinal straylight produced by the “clear” posterior capsule, resulting in better initial vision, she added. The technique “eliminates risk of secondary visual degradation from posterior capsule opacification (PCO) and therefore the need for planned anterior vitrectomy in children and hyaloid busting Nd:YAG laser posterior capsulotomy in adults,” Dr. Arbisser said.
“It obviates the need for a square-edged optic because the square edge is only necessary to retard PCO when the IOL is in the bag,” she added. In addition, it can also eliminate the dysphotopsia that is related to the square-edge design. As another benefit, it brings predictability to the effective lens position by reducing or eliminating lens epithelial cell fibrosis and contraction and eliminates the risk of postoperative rotation when using a toric lens, Dr. Arbisser noted.
Lisa B. Arbisser, MD
E: [email protected]
This article was adapted from Dr. Arbisser’s presentation at the 2018 meeting of the American Academy of Ophthalmology. Dr. Arbisser is a consultant for Mynosys and is a minor stockholder in the company.