Comparison of Maximum Stretch Forces between Femtosecond Laser-Assisted Capsulotomy and Continuous Curvilinear Capsulorhexis

The current study reports comparing the postoperative mechanical properties of the anterior capsule between femtosecond laser capsulotomy (FLC) and continuous curvilinear capsulorhexis (CCC) of variable size and shape in porcine eyes. All CCCs were created using capsule forceps. Irregular or eccentr...

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Main Authors: Mari Takagi, Takashi Kojima, Kei Ichikawa, Yoshiki Tanaka, Yukihito Kato, Rie Horai, Akeno Tamaoki, Kazuo Ichikawa
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2017/3489373
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author Mari Takagi
Takashi Kojima
Kei Ichikawa
Yoshiki Tanaka
Yukihito Kato
Rie Horai
Akeno Tamaoki
Kazuo Ichikawa
author_facet Mari Takagi
Takashi Kojima
Kei Ichikawa
Yoshiki Tanaka
Yukihito Kato
Rie Horai
Akeno Tamaoki
Kazuo Ichikawa
author_sort Mari Takagi
collection DOAJ
description The current study reports comparing the postoperative mechanical properties of the anterior capsule between femtosecond laser capsulotomy (FLC) and continuous curvilinear capsulorhexis (CCC) of variable size and shape in porcine eyes. All CCCs were created using capsule forceps. Irregular or eccentric CCCs were also created to simulate real cataract surgery. For FLC, capsulotomies 5.3 mm in diameter were created using the LenSx® (Alcon) platform. Fresh porcine eyes were used in all experiments. The edges of the capsule openings were pulled at a constant speed using two L-shaped jigs. Stretch force and distance were recorded over time, and the maximum values in this regard were defined as those that were recorded when the capsule broke. There was no difference in maximum stretch force between CCC and FLC. There were no differences in circularity between FLC and same-sized CCC. However, same-sized CCC did show significantly higher maximum stretch forces than FLC. Teardrop-shaped CCC showed lower maximum stretch forces than same-sized CCC and FLC. Heart-shaped CCC showed lower maximum stretch forces than same-sized CCC. Conclusively, while capsule edge strength after CCC varied depending on size or irregularities, FLC had the advantage of stable maximum stretch forces.
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institution Kabale University
issn 2090-004X
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language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Journal of Ophthalmology
spelling doaj-art-eeb97f41805844048a6c404145b5cf542025-02-03T06:00:44ZengWileyJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/34893733489373Comparison of Maximum Stretch Forces between Femtosecond Laser-Assisted Capsulotomy and Continuous Curvilinear CapsulorhexisMari Takagi0Takashi Kojima1Kei Ichikawa2Yoshiki Tanaka3Yukihito Kato4Rie Horai5Akeno Tamaoki6Kazuo Ichikawa7Department of Ophthalmology, Japan Community Healthcare Organization Chukyo Hospital, Nagoya, JapanDepartment of Ophthalmology, Japanese Red Cross Gifu Hospital, Gifu, JapanDepartment of Ophthalmology, Japanese Red Cross Gifu Hospital, Gifu, JapanChukyo Medical Co., Inc., Nagoya, JapanChukyo Eye Clinic, Nagoya, JapanChukyo Medical Co., Inc., Nagoya, JapanDepartment of Ophthalmology, Japan Community Healthcare Organization Chukyo Hospital, Nagoya, JapanChukyo Eye Clinic, Nagoya, JapanThe current study reports comparing the postoperative mechanical properties of the anterior capsule between femtosecond laser capsulotomy (FLC) and continuous curvilinear capsulorhexis (CCC) of variable size and shape in porcine eyes. All CCCs were created using capsule forceps. Irregular or eccentric CCCs were also created to simulate real cataract surgery. For FLC, capsulotomies 5.3 mm in diameter were created using the LenSx® (Alcon) platform. Fresh porcine eyes were used in all experiments. The edges of the capsule openings were pulled at a constant speed using two L-shaped jigs. Stretch force and distance were recorded over time, and the maximum values in this regard were defined as those that were recorded when the capsule broke. There was no difference in maximum stretch force between CCC and FLC. There were no differences in circularity between FLC and same-sized CCC. However, same-sized CCC did show significantly higher maximum stretch forces than FLC. Teardrop-shaped CCC showed lower maximum stretch forces than same-sized CCC and FLC. Heart-shaped CCC showed lower maximum stretch forces than same-sized CCC. Conclusively, while capsule edge strength after CCC varied depending on size or irregularities, FLC had the advantage of stable maximum stretch forces.http://dx.doi.org/10.1155/2017/3489373
spellingShingle Mari Takagi
Takashi Kojima
Kei Ichikawa
Yoshiki Tanaka
Yukihito Kato
Rie Horai
Akeno Tamaoki
Kazuo Ichikawa
Comparison of Maximum Stretch Forces between Femtosecond Laser-Assisted Capsulotomy and Continuous Curvilinear Capsulorhexis
Journal of Ophthalmology
title Comparison of Maximum Stretch Forces between Femtosecond Laser-Assisted Capsulotomy and Continuous Curvilinear Capsulorhexis
title_full Comparison of Maximum Stretch Forces between Femtosecond Laser-Assisted Capsulotomy and Continuous Curvilinear Capsulorhexis
title_fullStr Comparison of Maximum Stretch Forces between Femtosecond Laser-Assisted Capsulotomy and Continuous Curvilinear Capsulorhexis
title_full_unstemmed Comparison of Maximum Stretch Forces between Femtosecond Laser-Assisted Capsulotomy and Continuous Curvilinear Capsulorhexis
title_short Comparison of Maximum Stretch Forces between Femtosecond Laser-Assisted Capsulotomy and Continuous Curvilinear Capsulorhexis
title_sort comparison of maximum stretch forces between femtosecond laser assisted capsulotomy and continuous curvilinear capsulorhexis
url http://dx.doi.org/10.1155/2017/3489373
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