Incomplete femtosecond laser–assisted capsulotomy and lens fragmentation due to emulsified silicone oil in the anterior chamber

摘要: We report 2 cases involving femtosecond laser–assisted cataract surgery following a retinal-detachment repair performed 1 and 2 years earlier using silicone oil endotamponade that was subsequently removed. Preoperative slitlamp examination did not show emulsified in the anterior chamber. Intraoperatively, however, seen on segment optical coherence tomography (AS-OCT) as distinct hyperreflective retrocorneal line there no penetration of OCT signal or delivery laser treatment through this area, resulting incomplete capsulotomy lens fragmentation both cases. Because has lower density than aqueous migrates superiorly, careful preoperative gonioscopic to evaluate for superior angle is warranted eyes having after vitrectomy with silicone-oil endotamponade. Review intraoperative images can detect oil, which would allow procedure be modified appropriately prevent complications. Financial Disclosure No author financial proprietary interest any material method mentioned.